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Please write a paragraph responding to the discussion bellow. Add citations and references in alphabetical order.

Topic three: Executive Summary

The need to address emergency department crowding.

At the forefront of the department leader’s responsibility should be emergency room (ED) crowding. To improve the ED, the administrative issues to be addressed are, ED crowding compromises quality of care and community trust, crowding is costly, and hospitals will soon report ED crowding to the Centers for Medicare & Medicaid Services (CMS). It is imperative to stratify how ED crowding can be mitigated by improving patient flow throughout the hospital (Agency for Healthcare Research and Quality, 2014).

ED crowding is not a new occurrence. When a person is ill many times this happens on the weekend or during the evening hours, when the provider’s office is closed. Therefore, the immediate person’s reaction is to go to the ED. Why not, as this is where the patient walks through the front door, they are triaged and escorted to the appropriate area to be seen by a provider. Simple and easy, no appointment needed. Actually, since it is so simple and easy, many people are choosing to utilize the ED rather than the primary care provider to the point the ED is crowded with non-emergency situations.

When is it clinically necessary to use the ED? Emergency medicine is the medical specialty medicine dedicated to diagnosis and treatment of unforeseen illness or injury. It is the “evaluation, diagnosis, treatment, coordination of care among multiple providers, and disposition of any patient requiring expeditious medical, surgical, or psychiatric care” (American College of Emergency Physicians, 2016). Emergency healthcare teams are the foundation for the health care system patients’ safety. Without the ED, numerous people would not be alive and thriving, as it is an integral department in any clinical setting.

The goal to decrease the ED crowding is to create a patient flow improvement team. The first step would be to compose a multidisciplinary team who would propose improvement interventions. These could be quality department leaders, ED physicians and nurses, and research or data analysts. They in turn would identity data which show ED crowding is not only an ED problem, but it is a hospital wide problem and solutions will need to put into place to control the misuse of the ED.

Strategies are essential when creating a successful intervention. Therefore, begin to identify the probable causes of the ED crowding, research what other institutions have done to improve patient flow and consider the financial burden involved with the implementation of the ED patient flow. Since there will be challenges along the road, remember to anticipate staff resistance, lack of staffing resources, and culture change for the patient and the healthcare team.


Agency for Healthcare Research and Quality. (2014). Improving patient flow and reducing emergency department crowding: A guide for hospitals.

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