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The Emergency Department sees approximately 35,000 patients yearly with an admissions rate of 24%. The national average admission rate is reported at 17% to 18%. This may suggest the acuity at Desert Springs Hospital is greater than the average ED. This higher than average admission rate coupled with inefficiencies in patient flow, shortage of ICU beds and staff, has caused the ED to back up, necessitating the need for the ambulance service to divert patients to other facilities. The number of hours on emergency divert has increased from 18% to 32% and from 31% to 77% for critical care divert. The following recommendations are suggested to streamline the admission process and decrease the length of stay of admitted patients in the Emergency Department, thereby reducing the number of hours on divert:
A. Facility recommendations.
B. Patient flow recommendations.
C. Equipment recommendation.
D. Staffing recommendations:
Source: Desert Springs Hospital, Las Vegas.