Jeffrey S. Desmond
Current Organizations / Institutes
The organizations/institutes from the scholar's latest article
Research Subjects
Research Interests
Jeffrey S. Desmond has a total of 7 co-authors. Here are the top co-authors by number of shared publications:
- Andrew Williams
Hackensack University Medical Center, Hackensack, USA
1 shared publication - Jason E. Goldstick
Department of Emergency Medicine, University of Michigan School of Medicine, Ann Arbor, MI, USA; Institute for Firearm Injury Prevention, University of Michigan, Ann Arbor, MI, USA
1 shared publication - Mahshid Abir
Department of Emergency Medicine, University of Michigan, Ann Arbor, USA
1 shared publication - Rosalie Malsberger
Mathematica Policy Research, Boston, USA
1 shared publication - Sebastian Bauhoff
Inter-American Development Bank. Washington, DC, United States
1 shared publication - Steven Kronick
Michigan Center for Integrative Research in Critical Care, Department of Emergency Medicine, University of Michigan, Ann Arbor, MI, United States
1 shared publication
Latest Publications
- Open Access
- 30 January 2019
- Published by Springer Nature in International Journal of Emergency Medicine
- Vol. 12 (1) , 1-11
Evaluating the impact of emergency department crowding on disposition patterns and outcomes of discharged patients
Crowding is a major challenge faced by EDs and is associated with poor outcomes. Determine the effect of high ED occupancy on disposition decisions, return ED visits, and hospitalizations. We conducted a retrospective analysis of electronic health records of patients evaluated at an adult, urban, and academic ED over 20 months between the years 2012 and 2014. Using a logistic regression model predicting admission, we obtained estimates of the effect of high occupancy on admission disposition, adjusted for key covariates. We then stratified the analysis based on the presence or absence of high boarder patient counts. Disposition decisions during a high occupancy hour decreased the odds of admission (OR = 0.93, 95% CI: [0.89, 0.98]). Among those who were not admitted, high occupancy was not associated with increased odds of return in the combined (OR = 0.94, 95% CI: [0.87, 1.02]), with-boarders (OR = 0.96, 95% CI: [0.86, 1.09]), and no-boarders samples (OR = 0.93, 95% CI: [0.83, 1.04]). Among those who were not admitted and who did return within 14 days, disposition during a high occupancy hour on the initial ED visit was not associated with a significant increased odds of hospitalization in the combined (OR = 1.04, 95% CI: [0.87, 1.24]), the with-boarders (OR = 1.12, 95% CI: [0.87, 1.44]), and the no-boarders samples (OR = 0.98, 95% CI: [0.77, 1.24]). ED crowding was associated with reduced likelihood of hospitalization without increased likelihood of 2-week return ED visit or hospitalization. Furthermore, high occupancy disposition hours with high boarder patient counts were associated with decreased likelihood of hospitalization.
- 30 January 2019
- Published by Springer Nature in International Journal of Emergency Medicine
- Vol. 12 (1) , 1-11
Open AccessEvaluating the impact of emergency department crowding on disposition patterns and outcomes of discharged patients
Crowding is a major challenge faced by EDs and is associated with poor outcomes. Determine the effect of high ED occupancy on disposition decisions, return ED visits, and hospitalizations. We conducted a retrospective analysis of electronic health records of patients evaluated at an adult, urban, and academic ED over 20 months between the years 2012 and 2014. Using a logistic regression model predicting admission, we obtained estimates of the effect of high occupancy on admission disposition, adjusted for key covariates. We then stratified the analysis based on the presence or absence of high boarder patient counts. Disposition decisions during a high occupancy hour decreased the odds of admission (OR = 0.93, 95% CI: [0.89, 0.98]). Among those who were not admitted, high occupancy was not associated with increased odds of return in the combined (OR = 0.94, 95% CI: [0.87, 1.02]), with-boarders (OR = 0.96, 95% CI: [0.86, 1.09]), and no-boarders samples (OR = 0.93, 95% CI: [0.83, 1.04]). Among those who were not admitted and who did return within 14 days, disposition during a high occupancy hour on the initial ED visit was not associated with a significant increased odds of hospitalization in the combined (OR = 1.04, 95% CI: [0.87, 1.24]), the with-boarders (OR = 1.12, 95% CI: [0.87, 1.44]), and the no-boarders samples (OR = 0.98, 95% CI: [0.77, 1.24]). ED crowding was associated with reduced likelihood of hospitalization without increased likelihood of 2-week return ED visit or hospitalization. Furthermore, high occupancy disposition hours with high boarder patient counts were associated with decreased likelihood of hospitalization.