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Permanent link (DOI): https://doi.org/10.7939/R3R12S

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Theses and Dissertations

Access block experienced by a general internal medicine population: factors and outcomes Open Access

Descriptions

Other title
Subject/Keyword
emergency department wait times
emergency department overcrowding
access block
general internal medicine
Type of item
Thesis
Degree grantor
University of Alberta
Author or creator
Wolodko, Lesley
Supervisor and department
Hegadoren, Kathy (Faculty of Nursing)
Examining committee member and department
Johnston, Curtis (Faculty of Medicine)
Norris, Colleen (Faculty of Nursing)
Department
Faculty of Nursing
Specialization

Date accepted
2012-04-12T15:37:59Z
Graduation date
2012-06
Degree
Master of Nursing
Degree level
Master's
Abstract
This retrospective study examines the frequency and intensity of access block experienced by a general internal medicine population within a large tertiary care center. The study demonstrated internal medicine admissions experienced significant emergency department wait times and access block. Factors significantly associated with prolonged emergency department times included age, isolation, admission day, admission in fall, admission year, medicine blocked beds, medicine occupancy, medicine emergency inpatients, hospital blocked beds and hospital full capacity stretchers in use. Admission diagnoses of pneumonia and delirium were associated with emergency department length of stay only, while daily number of internal medicine admissions and admission shift was associated with BWT only. Mortality, intensive care unit transfers and inpatient length of stay were not associated with prolonged wait times. Overall general internal medicine patients experienced significant access block. Isolation exerted the most influence on prolonging wait times. Capacity factors did not exert as much influence as anticipated, possibly due to very high occupancy rates.
Language
English
DOI
doi:10.7939/R3R12S
Rights
Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of these terms. The author reserves all other publication and other rights in association with the copyright in the thesis and, except as herein before provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
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