Improved outcomes for emergency department patients whose ambulance off-stretcher time is not delayed

To describe and compare characteristics and outcomes of patients who arrive by ambulance to the ED. We aimed to (i) compare patients with a delayed ambulance offload time (AOT) >30 min with those who were not delayed; and (ii) identify predictors of an ED length of stay (LOS) of >4 h for ambulance‐arriving patients.

• Publication year

  2015

• Venue

  Emergency Medicine Australasia

• Publication date

  2015-05-05

• Fields of study

  Medicine

• Identifiers
  DOI 10.1111/1742-6723.12399PMID 25940975PMCID 4676924
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• NEAT in need of a sweet spot

  2014cited by this paper
• From the Australian Institute of Health and Welfare

  2014cited by this paper
• Evaluation of ambulance offload delay at a university hospital emergency department

  2013cited by this paper
• Integrated Model of Palliative Care in the Emergency Department

  2013cited by this paper
• Predictive factors for longer length of stay in an emergency department: a prospective multicentre study evaluating the impact of age, patient's clinical acuity and complexity, and care pathways

  2013cited by this paper
• Effect of emergency department crowding on outcomes of admitted patients.

  2013cited by this paper
• An antibiotic formulary for a tertiary care foot clinic: admission avoidance using intramuscular antibiotics for borderline foot infections in people with diabetes

  2013cited by this paper
• The four-hour target in the NHS emergency departments: a critical comment

  2012cited by this paper
• An evaluation of early pregnancy outcomes in one Australian Emergency Department: Part 2

  2012cited by this paper
• Predictors of patient length of stay in 9 emergency departments.

  2012cited by this paper
• Analysis and impact of delays in ambulance to emergency department handovers

  2012cited by this paper
• Linking ambulance, emergency department and hospital admissions data: understanding the emergency journey

  2011cited by this paper
• Emptying the corridors of shame: organizational lessons from England's 4-hour emergency throughput target.

  2011cited by this paper
• Ambulance Diversion and Emergency Department Offload Delay: Resource Document for the National Association of EMS Physicians Position Statement

  2011cited by this paper
• An outcomes evaluation of an Australian Hospital in the Nursing Home admission avoidance programme.

  2011cited by this paper
• From the Australian Commission on Safety and Quality in Health Care

  2011cited by this paper
• Targets still lead care in emergency departments

  2010cited by this paper
• The four hour target to reduce emergency department ‘waiting time’: A systematic review of clinical outcomes

  2010cited by this paper
• The effects of ambulance ramping on Emergency Department length of stay and in-patient mortality

  2009cited by this paper
• The association between hospital overcrowding and mortality among patients admitted via Western Australian emergency departments

  2006cited by this paper
• Emergency Department Performance Indicators That Encompass the Patient Journey

  2006cited by this paper
• Reports from the Australian Institute of Health and Welfare (AIHW)

  1995cited by this paper

• The Association Between Access Block And Ambulance Ramping, And The Impact of COVID‐19: A Retrospective Observational Cohort Study of 25 Queensland Hospitals

  2026cites this paper
• An Empirical Analysis of the Effect of Ambulance Offload Delay on the Efficiency of the Ambulance System

  2026cites this paper
• A pragmatic implementation and outcomes evaluation of the older persons emergency network acute outreach service (OPEN AOS) model utilising the integrated PRISM and RE-AIM framework: the OPEN AOS study protocol.

  2026cites this paper
• Racial and Socioeconomic Disparities in California Ambulance Patient Offload Times

  2025cites this paper
• What Factors Could Create a More Comfortable Waiting Experience for Patients on Emergency Department Ramps? A Scoping Review

  2025cites this paper
• "On the Wall": A Descriptive Analysis of Ambulance Patient Offload Times in the United States.

  2025cites this paper
• Enhancing emergency response efficiency through advanced urban logistics: The role of driver psychophysiology and vehicle dynamics in mitigating socio-economic impacts

  2025cites this paper
• Waiting time ambulances in the Emergency Department; a Dutch single center study (WAITED study)

  2025cites this paper
• Ambulance offload performance, patient characteristics and disposition for patients offloaded to different areas of the emergency department

  2024cites this paper
• Patient care on the ramp: Who is legally responsible?

  2024cites this paper
• Patterns in California Ambulance Patient Offload Times by Local Emergency Medical Services Agency

  2024cites this paper
• Improving urban emergency medical service systems through brownfield transformation in Huangshi, China

  2024cites this paper
• Scheduling operating rooms of multiple hospitals considering transportation and deterioration in mass-casualty incidents

  2022cites this paper
• The influence of ambulance offload time on 30‐day risks of death and re‐presentation for patients with chest pain

  2022cites this paper
• Inequities in ambulance allocation associated with transfer delay and mortality in acute coronary syndrome patients: evidence from 89 emergency medical stations in China

  2022cites this paper
• Predicting ambulance offload delay using a hybrid decision tree model

  2021cites this paper
• Predicting Ambulance Patient Wait Times: A Multicenter Derivation and Validation Study.

  2021cites this paper
• Choice of Transport to Hospital in Nonurban Areas in Life-Threatening Situations

  2021cites this paper
• Impacts of an EMS Hospital Liaison Program on Ambulance Offload Times: A Preliminary Analysis

  2021cites this paper
• Length of Stay in the Emergency Department and Its Associated Factors at Jimma Medical Center, Southwest Ethiopia

  2020cites this paper
• Prehospital Point-Of-Care Lactate Increases the Prognostic Accuracy of National Early Warning Score 2 for Early Risk Stratification of Mortality: Results of a Multicenter, Observational Study

  2020cites this paper
• Determining ambulance destinations when facing offload delays using a Markov decision process

  2020cites this paper
• A data linkage study of suspected seizures in the urgent and emergency care system in the UK

  2020cites this paper
• Seasonal variations of patients presenting dyspnea to emergency departments in Europe: Results from the EURODEM Study

  2020cites this paper
• Impact of the Four-Hour Rule policy on emergency medical services delays in Australian EDs: a longitudinal cohort study

  2020cites this paper
• Treatment process differences with and without an ambulance offload zone

  2020cites this paper
• A paramedic patient flow coordinator improves ambulance offload times in the emergency department

  2020cites this paper
• Length of Stay in the Emergency Department and Its Associated Factors at Jimma Medical Center, Southwest Ethiopia

  2020cites this paper
• Are emergency medical services offload delay patients at increased risk of adverse outcomes?

  2019cites this paper
• Trends and barriers of emergency medical service use in Addis Ababa; Ethiopia

  2019cites this paper
• Delays in arrival and treatment in emergency departments: Women, children and non-trauma consultations the most at risk in humanitarian settings

  2019cites this paper
• Improving emergency department transfer for patients arriving by ambulance: A retrospective observational study

  2019cites this paper
• Implementing best practice into the emergency department triage process

  2019cites this paper
• Global patient experience of paramedic practice

  2019influential citation
• Emergency department models of care in Queensland: a multisite cross-sectional study.

  2018cites this paper
• A review on ambulance offload delay literature

  2018cites this paper
• The ethics of ambulance ramping

  2017influential citation
• The impact of an Emergency Department ambulance offload nurse role: A retrospective comparative study.

  2017cites this paper
• Sex differences in stress, burnout and coping in emergency medical service providers

  2016cites this paper
• Emergency department ‘undercrowding’ is associated with decreased waiting times

  2016cites this paper
• 'Care in a chair' - The impact of an overcrowded Emergency Department on the time to treatment and length of stay of self-presenting patients with abdominal pain.

  2016cites this paper
• Demand for Emergency Services Trends in New South Wales Years 2010–2014 (DESTINY): Age and Clinical Factors Associated with Ambulance Transportation to Emergency Departments

  2016cites this paper
• Ambulance use in Pakistan: an analysis of surveillance data from emergency departments in Pakistan

  2015cites this paper
• THE EFFECT OF PARAMEDICS IN EMERGENCY DEPARTMENT TRIAGE ON AMBULANCE PATIENT OFFLOAD TIMES: A RETROSPECTIVE OBSERVATIONAL STUDY

  year unknowncites this paper