Proactive Inpatient Bed Requests for Emergency Department Admissions
Emergency department (ED) boarding occurs when admitted patients remain in the ED while awaiting inpatient beds. Boarding is a major driver of ED crowding and has been associated with poor patient outcomes. We propose a framework to help EDs reduce boarding time and length of stay by using information about current patients and bed availability to proactively request inpatient beds before admission decisions are finalized. We formulate the problem as a Markov decision process in which predictions of each patient's admission probability and time to disposition are aggregated to guide early inpatient bed requests. This formulation leads to three data-driven policies based on approximate dyn...
| Authors | QIan Cheng, Nilay Tanik Argon, Aniruddhan Ganesaraman et al. |
|---|---|
| Primary category | stat.AP |
| Published | 16 July 2026 |
| Last updated at source | 16 July 2026 |
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