I hear a lot about medication assisted therapy for opioid use disorder but rarely for alcohol use disorder. Time to change the paradigm https://t.co/PlLVLSQTI4 https://t.co/rsJVmFFlGt

Shortages of nursing & other ancillary services have reduced the ability to operate at full capacity. Overcrowded hospitals, one symptom of which is emergency department boarding, results in ⬇️quality of care for patients, ⬆️ burnout, & ⬆️ mortality. https://t.co/cWg0rEOd4J https://t.co/XUsAd3FjBP

While the emergency department functions 24/7/365, much of the rest of the hospital maintains banker’s hours. Converting semiprivate to private rooms, which may improve patient satisfaction, limit hospital capacity. https://t.co/cWg0rEOd4J https://t.co/KD1GdzT3Mz

According to a nurse, this was a record number of boarders. But this one boarding story isn’t a outlier. It's one of 100s of boarding stories emergency physicians can tell about the dangerous, inhumane, & heartbreaking condition of emergency medicine. https://t.co/cWg0rEOd4J https://t.co/YJEsbesDTp

–– people who were already admitted to the hospital, some for nearly three days, but waiting for a bed upstairs. All in all, in an emergency department with approximately 80 beds, we were holding 75 admissions. https://t.co/cWg0rEOd4J https://t.co/DMQQC2EKKT

Honestly, I’ve never seen it this bad in my many years of practice. On my last shift, I walked into an emergency department where 36 of the 38 open patient rooms were occupied by inpatient borders— https://t.co/cWg0rEOd4J https://t.co/BKAdwZaGeU

Administrators, regulators, & lawmakers need to focus on blockages elsewhere—the distribution of elective surgeries, discharge before noon, discharge on the weekend, & providing surge capacity. Otherwise, these stories will continue to accrue. https://t.co/CpAuCdGYTv https://t.co/Og6T1E1hxy