Crisis in the emergency department
Abstract
Interview with Arthur Kellermann on the crisis in emergency care in the United States. (08:41)Download At 2 a.m. on July 27, 1996, I stood in the ambulance bay of Grady Memorial Hospital, awaiting the first of 35 severely injured bombing victims who would be brought to Grady from Atlanta's Olympic Park over the next 2 hours. Although it was a harrowing experience for all involved, the response of Grady's ambulance service, emergency physicians, and trauma surgeons was so efficient that the hospital had returned to normal operations by 7 a.m.Much has changed in the decade since the Atlanta bombing. The power and sophistication of terrorist bombings have increased dramatically, but America's emergency and trauma . . .
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Emergency departments face problems with overcrowding, delays, cost containment, and patient safety.
“The need for improvement in emergency departments (EDs) with respect to the cost of care, the speed of service, overcrowding, and patient safety is now widely accepted [1–4].”
From Lean Thinking in Emergency Departments: A Critical Review (2011) · cites this paper as [3]
Cites
Analysis of Ambulance Transports and Diversions Among US Emergency Departments
Burt, C. W., McCaig, L. F., & Valverde, R. H. (2006) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2005.12.001 · Cited by 207 · see citing works
A growing crisis in patient access to emergency surgical care.
(2006) · PubMed · Cited by 51 · see citing works
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Lean Thinking in Emergency Departments: A Critical Review
Holden, R. J. (2011) · Annals of Emergency Medicine · doi:10.1016/j.annemergmed.2010.08.001 · Cited by 516 · see citing works
ED overcrowding is associated with an increased frequency of medication errors
Kulstad, E. B., Sikka, R., Sweis, R. T., Kelley, K. M., & Rzechula, K. H. (2010) · The American Journal of Emergency Medicine · doi:10.1016/j.ajem.2008.12.014 · Cited by 306 · see citing works
- Authors
- Kellermann, A. L.
- Affiliations
- Emory University (US)
- Corresponding author
- Kellermann, Arthur L.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2006-09-28
- Volume
- 355
- Issue
- 13
- Pages
- 1300-1303
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W1990041464
- Cited by
- 264
- References
- 2
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 1 · 2023: 10 · 2022: 9 · 2021: 8 · 2020: 9 · 2019: 11 · 2018: 13 · 2017: 23 · 2016: 16 · 2015: 13 · 2014: 18 · 2013: 14 · 2012: 19
- FWCI
- 20.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Trauma and Emergency Care Studies
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Health Sciences › Health Professions › Emergency Medical Services › Disaster Response and Management
- Keywords
- emergency department capacity, trauma care, terrorism, terrorist bombings, disaster preparedness, emergency medicine workforce, trauma surgeons, ambulance services
- MeSH terms
- Workforce, Crowding, Disasters, Emergency Medical Services, Emergency Service, Hospital, Hospital Bed Capacity, Humans, Nurses, Patient Admission, Patient Transfer, Physicians, Regional Medical Programs, United States, Efficiency, Organizational, Terrorism
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