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Business of Health Care: Emergency Department Wait Times

Michael Hagerty

Hospital emergency departments can go from near ghost towns to overcrowded in no time at all, which can create a recipe for long waits for some patients.

 

 

 

So what’s going on behind the scenes? Why are there sometimes long waits for care in an Emergency Department, even if the waiting room doesn’t look packed?

To start with, it’s important to know that hospital emergency departments don’t operate on a first-come, first-serve basis like most businesses.

Patients with the most serious and potentially life-threatening conditions get treated first. Patients arriving by ambulance also often taken priority.

Not only do serious cases jump to the front of the line, potentially causing delays, they often require more attention and resources.

Rather than rotating between patients as with less serious cases, doctors and other care providers may need to stay with a critical patient, providing constant care and monitoring.

This can create a domino effect, further prolonging waits.

Also, while the waiting room may not look completely full, it may be because some Emergency Departments have patients wait in the treatment area until it is their turn to be seen, and only use the waiting room if no more space is available in the treatment area.

For those with less serious conditions - such as sprained ankles, low-grade fever, and cold symptoms - the best way to avoid a wait in the emergency department is by considering another care setting such as a doctor’s office or local walk-in clinic for care that is likely just as effective and quicker.

 

Kateleigh joined KWBU in January 2019. She is an Oklahoma native that is making the move to Waco after working as an All Things Considered host and producer at affiliate KOSU Radio in Oklahoma City. She is a former NPR Next Generation Radio Fellow, a Society of Professional Journalists award winner, an Oklahoma Journalism Hall of Fame recipient for ‘Outstanding Promise in Journalism’ and the Oklahoma Collegiate Media Association’s 2017 recipient for ‘College Newspaper Journalist of the Year.’ After finishing up her journalism degree early she decided to use her first year out of college to make the transition from print media to public radio. She is very excited to have joined KWBU and she is looking forward to all the opportunities it will bring - including providing quality journalism to all Texans.
Glenn Robinson has been the President of Baylor Scott & White Medical Center – Hillcrest since September 2007. He previously held several CEO positions at hospitals in Texas, Oregon, and South Carolina. A Georgia native and graduate of the University of Alabama, Glenn completed graduate school at Trinity University in San Antonio, Texas.