• J Gen Intern Med · Mar 2004

    Hospitalists and an innovative emergency department admission process.

    • Eric E Howell, Edward S Bessman, and Haya R Rubin.
    • Department of Medicine, Johns Hopkins Bayview Medical Center, 4940 Eastern Avenue, Baltimore, MD 21224, USA. ehowell@jhmi.edu
    • J Gen Intern Med. 2004 Mar 1;19(3):266-8.

    AbstractAfter treatment in an emergency department (ED), patients often wait several hours for hospital admission, resulting in dissatisfaction and increased wait times for both admitted and other ED patients. We implemented a new direct admission system based on telephone consultation between ED physicians and in-house hospitalists. We studied this system, measuring admission times, length of stay, and mortality. Postintervention, admission times averaged 18 minutes for transfer to the ward compared to 2.5 hours preintervention, while pre- and postintervention length of stay and mortality rates remained similar.

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