M. Christien Van Der Linden
26 records found
1
Authored
A different crowd, a different crowding level?
The predefined thresholds of crowding scales may not be optimal for all emergency departments
Two emergency departments, 6000 km apart
Differences in patient flow and staff perceptions about crowding
Background: Unscheduled return visits to the emergency department (ED) may reflect shortcomings in care. This study characterized ED return visits with respect to incidence, risk factors, reasons and post-ED disposition. We hypothesized that risk factors for unscheduled return ...
Walkouts from the emergency department
Characteristics, reasons and medical care needs
METHODS: In a 4-month population-based cohort stud ...
Self-referring patients at the emergency department
Appropriateness of ED use and motives for self-referral
Background: Nearly all Dutch citizens have a general practitioner (GP), acting as a gatekeeper to secondary care. Some patients bypass the GP and present to the emergency department (ED). To make best use of existing emergency care, Dutch health policy makers and insurance com ...
Emergency department crowding in the Netherlands
Managers' experiences
Background: In The Netherlands, the state of emergency department (ED) crowding is unknown. Anecdotal evidence suggests that current ED patients experience a longer length of stay (LOS) compared to some years ago, which is indicative of ED crowding. However, no multicenter stu ...
Evaluation of a flexible acute admission unit
Effects on transfers to other hospitals and patient throughput times
Introduction: We developed a stream system to the current triangle system in order to manage patient flow at the emergency department and to clarify ENP role boundaries. Methods: Data on admission and death rates - indicating injury severity - and data on length of stay - indi ...