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PubMed · 11143869

'Code Purple' mode relieves ED bottlenecks.

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Abstract

To improve patient flow in the ED when resources are overwhelmed, a "Code Purple" mini-disaster mode was implemented at William Beaumont Hospital in Royal Oak, MI. When a "Code Purple" is called, the inpatient units immediately begin accepting ED patients waiting for beds by creating short-term hall spots. Non-stat, diagnostic studies are held by the radiology department until the ones from the ED have been completed. The system is used only when the ED environment might place patients at risk.

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Bed OccupancyDisaster PlanningEfficiency, OrganizationalEmergency Service, HospitalHumansMichiganPatient Care TeamTriageJournal Article

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2000. 'Code Purple' mode relieves ED bottlenecks.. https://pubmed.ncbi.nlm.nih.gov/11143869/

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Deregionalization of neonatal intensive care in urban areas.

OBJECTIVES: This report describes the extent of deregionalization of neonatal intensive care in urban areas of the United States in the 1980s and 1990s and the factors associated with it. METHODS: We conducted a 15-year retrospective analysis of secondary data from US metropolitan statistical areas. Primary outcome measures are number of neonatal intensive care unit (NICU) beds, number of NICU hospitals, and number of small NICUs. RESULTS: Growth in the supply of NICU care has outpaced the need. During the study period (1980-1995), the number of hospitals grew by 99%, the number of NICU beds by 138%, and the number of neonatologists by 268%. In contrast, the growth in needed bed days was only 84%. Of greater concern, the number of beds in small NICU facilities continues to grow. Local regulatory and practice characteristics are important in explaining this growth. CONCLUSIONS: Local policymakers should examine the factors that facilitate the proliferation of services, especially the development of small NICUs. Policies that encourage cooperative efforts by hospitals should be developed. Eliminating small NICUs would not restrict the NICU bed supply in most metropolitan statistical areas.

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