Crowding & Boarding

ACEP Leads National Summit on the Boarding Crisis

UPDATE OCT. 20, 2023: A full report of the Summit's proceedings has been added online. On September 27, ACEP organized and led a summit of stakeholders across health care to discuss the factors contri...

It is only a matter of time

Killing our patients

No end in sight

Getting numb

No privacy and no rest

New placement

Acts of bravery

And so they stay

Verge of collapsing

Make waves

No open PICU beds

Unsustainable

Languishing

Leave without being seen

It's a tragedy

Emergent conditions

Slumped in their chair

Please do something

The health of our nation

Sick kids are stuck

Frightened and in pain

Diversion

Severe overcrowding

Transfer

Something has to be done

Needle in a haystack

Hallway beds

Budget issues

Zero beds available

Life-threatening issue

MacGyver solutions

In the waiting room

Why?

Patients hate it

Nowhere to go

ED never closes

I hope I make it

Awaiting inpatient psychiatric care

Without privacy

Children's hospitals throughout the country

Not a safe situation

Awaiting acceptance

We need help

My plea

Full

Moral injury

Not uncommon

High costs

No net at all

Looking for beds

Our sickest patients

Skin in the game

A commitment to provide rapid care

35 Boarders

At the breaking point

No beds

No nurses

People keep coming

Dangerously Overcrowded

Trapped

In dire straits

Boarding in the ER hallway

Snapshot

Hopeless and beaten down

Bed assignment

In the hallway

Psychiatric holds

Waiting and waiting

Heroic efforts

In shock

A crisis!

Rooms no bigger than closets

Help needed—to say the least!

My last shift

Every available space

Crash and burn

The patients overflow

Social safety net

Feel human

Timely transfer

A national issue

No room to go

Yes, boarding is bad

Underserved, under resourced

Not safe

An afterthought

Everything with nothing

Interrupting patient care

Drowning

No space

Our most vulnerable patients

Died unnoticed

For days to weeks

Do the math

Burnout

No limits

Wait list

Killing the morale

Over four weeks in the emergency department

No sign of easing up

Since I was in Iraq

The new reality

ED Boarding Overview

Emergency Department Boarding

Hospital Flow Solutions

Emergency Department Operations Management (Information Paper)

New York Department of Health Guidance Document for Hospitals - Hospital Obligations & Responsibilities

Massachusetts Crowding Bill

New York Chapter ACEP Testimony

Massachusetts Crowding Bill Fact Sheet

Boarding of Admitted and Intensive Care Patients in the Emergency Department

Definition of Boarded Patient

Crowding

Boarding of Pediatric Patients in the Emergency Department

Emergency Department Boarding and Crowding

State Approaches to Boarding & Crowding