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Research Article

Ambulance Diversion and Emergency Department Offload Delay: Resource Document for the National Association of EMS Physicians Position Statement

, MD, EMT-P, , MD, MPH, , MD, MPH, , DO, EMT-P, , MD, EMT-P & , DO, MPH
Pages 555-561 | Received 18 Jul 2011, Accepted 25 Jul 2011, Published online: 26 Aug 2011

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Read on this site (7)

Timothy A. Burns, Benjamin Kaufman & Roger M. Stone. (2022) An EMS Transport Destination Officer is Associated with Reductions in Simultaneous Emergency Department Arrivals. Prehospital Emergency Care 0:0, pages 1-5.
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Shannon Leduc, Zach Cantor, Peter Kelly, Venkatesh Thiruganasambandamoorthy, George Wells & Christian Vaillancourt. (2021) The Safety and Effectiveness of On-Site Paramedic and Allied Health Treatment Interventions Targeting the Reduction of Emergency Department Visits by Long-Term Care Patients: Systematic Review. Prehospital Emergency Care 25:4, pages 556-565.
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Molly Elliott, Peter T. Vanberkel & Alix J. E. Carter. (2020) Treatment process differences with and without an ambulance offload zone. Journal of the Operational Research Society 71:7, pages 1137-1144.
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Howard D. Backer, Nicole T. D’Arcy, Adam J. Davis, Bruce Barton & Karl A. Sporer. (2019) Statewide Method of Measuring Ambulance Patient Offload Times. Prehospital Emergency Care 23:3, pages 319-326.
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Julie E. Sinclair, Mike Austin, Mark Froats, Shannon Leduc, Justin Maloney, Richard Dionne, Andy Reed & Christian Vaillancourt. (2019) Characteristics, Prehospital Management, and Outcomes in Patients Assessed for Hypoglycemia: Repeat Access to Prehospital or Emergency Care. Prehospital Emergency Care 23:3, pages 364-376.
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Sheila Steer, Mary C. Bhalla, Jon Zalewski, Jennifer Frey, Victor Nguyen & Francis Mencl. (2016) Use of Radio Frequency Identification to Establish Emergency Medical Service Offload Times. Prehospital Emergency Care 20:2, pages 254-259.
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Seokcheon Lee. (2014) The role of hospital selection in ambulance logistics. IIE Transactions on Healthcare Systems Engineering 4:2, pages 105-117.
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Wenqian Xing & Cheng Hua. (2023) Multi-Priority Patient Transfer under Ambulance Offload Delay. SSRN Electronic Journal.
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Ji Hoon Kim, Arom Choi, Min Joung Kim, Heejung Hyun, Sunhee Kim & Hyuk-Jae Chang. (2022) Development of a machine-learning algorithm to predict in-hospital cardiac arrest for emergency department patients using a nationwide database. Scientific Reports 12:1.
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Luke P Dawson, Emily Andrew, Michael Stephenson, Ziad Nehme, Jason Bloom, Shelley Cox, David Anderson, Jeffrey Lefkovits, Andrew J Taylor, David Kaye, Karen Smith & Dion Stub. (2022) The influence of ambulance offload time on 30‐day risks of death and re‐presentation for patients with chest pain. Medical Journal of Australia 217:5, pages 253-259.
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Mengyu Li, Peter Vanberkel & Xiang Zhong. (2022) Predicting ambulance offload delay using a hybrid decision tree model. Socio-Economic Planning Sciences 80, pages 101146.
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Hang A Park, Sola Kim, Sang Ook Ha, Sangsoo Han & ChoungAh Lee. (2022) Effect of Designating Emergency Medical Centers for Critical Care on Emergency Medical Service Systems during the COVID-19 Pandemic: A Retrospective Observational Study. Journal of Clinical Medicine 11:4, pages 906.
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Becca M. Scharf, Eric M. Garfinkel, David J. Sabat, Eric B. Cohn, Robert C. Linton & Matthew J. Levy. (2021) Impacts of an EMS Hospital Liaison Program on Ambulance Offload Times: A Preliminary Analysis. Prehospital and Disaster Medicine 37:1, pages 45-50.
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Frida Malm, Annika Elfström, Emma Ohlsson-Nevo & Erik Höglund. (2021) Time consumption for non-conveyed patients within emergency medical services (EMS): A one-year prospective descriptive and comparative study in a region of Sweden. PLOS ONE 16:5, pages e0251686.
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Laura Maruster, Durk-Jouke van der Zee, Jaap Hatenboer & Erik Buskens. (2020) Tracing frequent users of regional care services using emergency medical services data: a networked approach. BMJ Open 10:5, pages e036139.
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Julia Crilly, Amy NB Johnston, Marianne Wallis, John O'Dwyer, Joshua Byrnes, Paul Scuffham, Ping Zhang, Emma Bosley, Wendy Chaboyer & David Green. (2019) Improving emergency department transfer for patients arriving by ambulance: A retrospective observational study. Emergency Medicine Australasia 32:2, pages 271-280.
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Mengyu Li, Peter Vanberkel & Alix J. E. Carter. (2018) A review on ambulance offload delay literature. Health Care Management Science 22:4, pages 658-675.
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Dana Stewart, Eddy Lang, Dongmei Wang & Grant Innes. (2019) Are emergency medical services offload delay patients at increased risk of adverse outcomes?. CJEM 21:4, pages 505-512.
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Andrew J. Hughes, Louise Brent, Regien Biesma, Paddy J. Kenny & Conor J. Hurson. (2018) The effect of indirect admission via hospital transfer on hip fracture patients in Ireland. Irish Journal of Medical Science (1971 -) 188:2, pages 517-524.
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Shannon Leduc, Peter Kelly, Venkatesh Thiruganasambandamoorthy, George Wells & Christian Vaillancourt. (2018) The safety and efficacy of on-site paramedic and allied health treatment interventions targeting the reduction of emergency department visits by long-term care patients: systematic review protocol. Systematic Reviews 7:1.
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Chris Kingswell, Ramon Z. Shaban & Julia Crilly. (2017) Concepts, antecedents and consequences of ambulance ramping in the emergency department: A scoping review. Australasian Emergency Nursing Journal 20:4, pages 153-160.
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Abdulrahman Nahhas, Ahmad Awaldi & Tobias Reggelin. (2017) Simulation and the Emergency Department Overcrowding Problem. Procedia Engineering 178, pages 368-376.
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Brian Schwartz. (2015) Transfer of care and offload delay: continued resistance or integrative thinking?. CJEM 17:6, pages 679-684.
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Alberto Mortaro, Diana Pascu, Tamara Zerman, Enrico Vallaperta, Alberto Schönsberg, Stefano Tardivo, Serena Pancheri, Gabriele Romano & Francesca Moretti. (2015) The role of the emergency medical dispatch centre (EMDC) and prehospital emergency care safety: results from an incident report (IR) system. CJEM 17:4, pages 411-419.
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Eric J. Adkins & Howard A. Werman. (2015) Ambulance Diversion: Ethical Dilema and Necessary Evil. The American Journal of Emergency Medicine 33:6, pages 820-821.
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Patricia Kunz Howard, Penne Allison, Matthew E. Proud, Roger Humphries, Brandy Mathews & Hollis Hilty. (2014) The Impact of A Collaborative City-Wide No-Diversion Trial. Journal of Emergency Nursing 40:2, pages 161-164.
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Derek R Cooney, Susan Wojcik, Naveen Seth, Corey Vasisko & Kevin Stimson. (2013) Evaluation of ambulance offload delay at a university hospital emergency department. International Journal of Emergency Medicine 6:1.
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