COMMENTARY
Proceed to your nearest emergency room … and wait
Edward Tabor MD,
Corresponding Author
Edward Tabor MD
The George Washington University School of Medicine and Health Sciences, Washington, DC, USA
Correspondence
Edward Tabor
Email: [email protected]
Search for more papers by this authorEdward Tabor MD,
Corresponding Author
Edward Tabor MD
The George Washington University School of Medicine and Health Sciences, Washington, DC, USA
Correspondence
Edward Tabor
Email: [email protected]
Search for more papers by this authorFirst published: 13 February 2025
Supervising Editor: Christopher R. Carpenter
No abstract is available for this article.
CONFLICT OF INTEREST STATEMENT
The author declares no conflicts of interest.
Open Research
DATA AVAILABILITY STATEMENT
The data that support the findings of this study are available from the corresponding author upon reasonable request.
REFERENCES
- 1 Maryland General Assembly Hospital Throughput Work Group. Final Report, March 2024, 7, exhibit 1, and other pages. Accessed Jan 18, 2025. https://mhaonline.org/wp-content/uploads/2024/05/maryland-general-assembly-hospital-throughput-work-group-final-report-march-2024.pdf
- 2Kellermann AL, Martinez R. The ER, 50 years on. N Engl J Med. 2011; 364: 2278-2279. doi:10.1056/NEJMp1101544
- 3 Institute of Medicine of the National Academies. Hospital-Based Emergency Care: At the Breaking Point. National Academies Press; 2007: 20. Accessed Jan 18, 2025. https://nap.nationalacademies.org/read/11621/chapter/1#ii
- 4Ashley M. 25 Hospital Closures in 2024. Becker's Hospital CFO Report. December 27, 2024. Accessed Jan 18, 2025. https://www.beckershospitalreview.com/finance/5-hospital-closures-in-2024.html
- 5Rudy M. Hundreds of rural hospitals are in danger of shutting down, study finds: at risk of closure. NY Post, February 19, 2024. Accessed Jan 18, 2025. https://nypost.com/2024/02/19/us-news/hundreds-of-rural-hospitals-are-in-danger-of-shutting-down-study-finds-at-risk-of-closure/
- 6Kelen GD, Wolfe R, D'Onofiro G, et al. Emergency department crowding: the canary in the health care system. NEJM Catalyst, September 29, 2021. https://catalyst.nejm.org/doi/full/10.1056/CAT.21.0217.
- 7O'Neill A. Population of the United States from 1610 to 2020. Statista, August 12, 2024. Accessed Jan 18, 2025. https://www.statista.com/statistics/1067138/population-united-states-historical/
- 8Darraj A, Hudays A, Hazazi A, Hobani A, Alghamdi A. The association between emergency department overcrowding and delay in treatment: a systemic review. Healthcare. 2023; 11:385. https://pmc.ncbi.nlm.nih.gov/articles/PMC9914164/.
10.3390/healthcare11030385 Google Scholar
- 9Janke AT, Melnick ER, Venkatesh AK. Monthly rates of patients who left before accessing care in US emergency departments, 2017–2021. JAMA Netw Open. 2022; 5:e2233708. Accessed Jan 18, 2025. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2796861/
- 10Li DR, Brennan JJ, Kreshak AA, Castillo EM, Vilke GM. Patients who leave the emergency department without being seen and their follow-up behavior: a retrospective descriptive analysis. J Emerg Med. 2019; 57: 106-113. Accessed Jan 18, 2025. https://www.jem-journal.com/article/S0736-4679(19)30258-6/abstract
- 11Pham JC, Ho GK, Hill PM, McCarthy ML, Pronovost PJ. National study of patient, visit, and hospital characteristics associated with leaving an emergency department without being seen: predicting LWBS. Acad Emerg Med. 2009; 16: 949-955. doi:10.1111/j.1553-2712.2009.00515.x
- 12Smalley CM, Meldon SW, Simon EL, Muir MR, Delgado F, Fertel BS. Emergency department patients who leave before treatment is complete. West J Emerg Med. 2021; 22: 148-155. Accessed Jan 18, 2025. https://westjem.com/articles/emergency-department-patients-who-leave-before-treatment-is-complete.html
- 13Kellermann AL. Crisis in the emergency department. N Engl J Med. 2006; 355: 1300-1303. doi:10.1056/NEJMp068194
- 14 American College of Emergency Physicians (ACEP). Almost Half of Adults Would Delay or Avoid Emergency Care Because of Concerns about Boarding in the Emergency Department. October 4, 2023. Accessed Jan 18, 2025. https://www.emergencyphysicians.org/press-releases/2023/10-4-23-almost-half-of-adults-would-delay-or-avoid-emergency-care-because-of-concerns-about-boarding-in-the-emergency-department
- 15 American College of Emergency Physicians. Public Perspectives on Boarding in the Emergency Department. October 2023. Accessed Jan 18, 2025. https://www.acep.org/SysSiteAssets/new-pdfs/advocacy/acep-mc-boarding-poll-9.29-final.pdf
- 16Zhang Q, Mu M-c, He Y, Cai Z-l, Li Z-c. Burnout in emergency medicine physicians: a meta-analysis and systematic review. Medicine. 2020; 99:e21462. Accessed Jan 18, 2025. https://journals.lww.com/md-journal/fulltext/2020/08070/burnout_in_emergency_medicine_physicians__a.17.aspx
- 17Shanafelt TD, Dyrbye LN, West CP, et al. Suicidal ideation and attitudes regarding help seeking in US physicians relative to the US working population. Mayo Clin Proc. 2021; 96: 2067-2080. Accessed Jan 18, 2025. https://www.mayoclinicproceedings.org/article/S0025-6196(21)00170-1/fulltext
- 18Shepherd K. Yawning deficit looms as Maryland leaders weigh future cuts, tax hikes. The Washington Post, November 16, 2024. Accessed Jan 18, 2025. https://www.washingtonpost.com/dc-md-va/2024/11/16/maryland-budget-deficit-cuts-spending/
- 19 Centers for Medicare and Medicaid Services (CMS). Fact sheet: Report on the study of the Acute Hospital Care at Home Initiative. September 30, 2024. Accessed Jan 18, 2025. https://www.cms.gov/newsroom/fact-sheets/fact-sheet-report-study-acute-hospital-care-home-initiative
