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September 2007

When There Is “No Room at the Inn”: Potential Solution for Overcrowding in a Tertiary Pediatric Center

Arch Pediatr Adolesc Med. 2007;161(9):911-913. doi:10.1001/archpedi.161.9.911

In their article titled “Easing the Strain on a Pediatric Tertiary Care Center: Use of a Redistribution System,” Freedman and Thakkar describe the function of a regional redistribution system for pediatric patients cared for in the emergency department (ED) of The Hospital for Sick Children (HSC), Toronto, Ontario, Canada.1 Their experience at a pediatric tertiary care center within the Canadian nationalized health care system has some intriguing applications to the emergency care access crisis within the United States and to ED overcrowding. As 1 year has passed since the release of the Institute of Medicine report, “The Future of Emergency Care in the US Health System,” Freedman and Thakkar offer a timely solution to patient boarding in the ED.2-4