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Prehosp Emerg Care. 2003 Jan-Mar;7(1):99-108.

Reducing ambulance diversion: a multihospital approach.

Author information

  • 1Hospital Executive Council, Syracuse, New York 13235, USA. hospexcl@dreamscape.com

Abstract

OBJECTIVE:

To evaluate the impact of procedures for reducing ambulance diversion in the metropolitan area of Syracuse, New York.

METHODS:

This was a retrospective review of procedures for reducing ambulance diversion at the system-wide and hospital-specific levels between January 1, 2001, and June 30, 2002. System-wide procedures involved exchange of information concerning diversion. Hospital-specific procedures involved implementation of additional planning and criteria for implementing ambulance diversion and development of additional patient care resources within the respective hospitals.

RESULTS:

Between 2000 and 2001, hours on ambulance diversion for the combined Syracuse hospitals declined by 24.8%. Between January and June 2001 and 2002, hours on diversion declined by 33.6%. These reductions in diversion hours occurred as numbers of ambulance transports increased by 7%, and numbers of emergency department visits increased by 5%.

CONCLUSION:

The study demonstrated that a combination of approaches can produce meaningful reductions of ambulance diversion at the community-wide and hospital-specific levels. It also demonstrated that substantial amounts of diversion time remained after these efforts, which must be addressed by payers and consumers.

PMID:
12540152
[PubMed - indexed for MEDLINE]
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