Journal of General Internal Medicine

, Volume 19, Issue 3, pp 266–268 | Cite as

Hospitalists and an innovative emergency department admission process

  • Eric E. HowellEmail author
  • Edward S. Bessman
  • Haya R. Rubin
Innovations In Education And Clinical Practice


After treatment in an emergency department (ED), patients often wait several hours for hospital admission, resulting in dissatisfaction and increased wait times for both admitted and other ED patients. We implemented a new direct admission system based on telephone consultation between ED physicians and in-house hospitalists. We studied this system, measuring admission times, length of stay, and mortality. Postintervention, admission times averaged 18 minutes for transfer to the ward compared to 2.5 hours preintervention, while pre- and postintervention length of stay and mortality rates remained similar.

Key Words

patient admission emergency medicine hospitalist 


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Copyright information

© Society of General Internal Medicine 2004

Authors and Affiliations

  • Eric E. Howell
    • 4
    • 2
    Email author
  • Edward S. Bessman
    • 1
  • Haya R. Rubin
    • 2
    • 3
  1. 1.the Department of Emergency MedicineThe Johns Hopkins Bayview Medical CenterUSA
  2. 2.Quality of Care Research, Department of MedicineThe Johns Hopkins School of MedicineBaltimore
  3. 3.Departments of Epidemiology and Health Policy and ManagementThe Johns Hopkins Bloomberg School of Public HealthBaltimore
  4. 4.Department of MedicineJohns Hopkins Bayview Medical CenterBaltimore

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