{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T09:04:33Z","timestamp":1789722273276,"version":"4.0.1"},"reference-count":11,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Joint Commission Journal on Quality and Patient Safety"],"published-print":{"date-parts":[[2026,8]]},"DOI":"10.1016\/j.jcjq.2026.08.002","type":"journal-article","created":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T16:28:59Z","timestamp":1786033739000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Direct to Radiology Emergency Avoidance Management (DREAM): A Quality Improvement Research Study on Reducing Emergency Department Overcrowding"],"prefix":"10.1016","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7462-1422","authenticated-orcid":false,"given":"Behroze Adi","family":"Vachha","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8418-7153","authenticated-orcid":false,"given":"Evan","family":"Ruppell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Reynolds","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Mahoney","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce","family":"Weinstein","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5266-0364","authenticated-orcid":false,"given":"Max P.","family":"Rosen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1859-0833","authenticated-orcid":false,"given":"Steven","family":"Baccei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jcjq.2026.08.002_bib0001","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2018-026200","article-title":"Impact of the implementation of a fast-track on emergency department length of stay and quality of care indicators in the Champagne-Ardenne region: a before-after study","volume":"9","author":"Chrusciel","year":"2019","journal-title":"BMJ Open."},{"key":"10.1016\/j.jcjq.2026.08.002_bib0002","article-title":"Interprofessional teamwork versus fast track streaming in an emergency department\u2014an observational cohort study of two strategies for enhancing the throughput of orthopedic patients presenting limb injuries or back pain","volume":"14","author":"Liu","year":"2019","journal-title":"PLoS One."},{"key":"10.1016\/j.jcjq.2026.08.002_bib0003","doi-asserted-by":"crossref","first-page":"612","DOI":"10.1016\/j.annemergmed.2008.09.024","article-title":"Emergency department crowding, part 2\u2014barriers to reform and strategies to overcome them","volume":"53","author":"Moskop","year":"2009","journal-title":"Ann Emerg Med."},{"key":"10.1016\/j.jcjq.2026.08.002_bib0004","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1016\/j.annemergmed.2008.09.019","article-title":"Emergency department crowding, part 1\u2014concept, causes, and moral consequences","volume":"53","author":"Moskop","year":"2009","journal-title":"Ann Emerg Med."},{"key":"10.1016\/j.jcjq.2026.08.002_bib0005","doi-asserted-by":"crossref","first-page":"483","DOI":"10.1007\/s11739-023-03477-4","article-title":"Overcrowding in emergency departments: an overview of reviews describing global solutions and their outcomes","volume":"19","author":"Pearce","year":"2024","journal-title":"Intern Emerg Med."},{"key":"10.1016\/j.jcjq.2026.08.002_bib0006","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1016\/j.ifacol.2022.09.452","article-title":"Relevance of fast-track to manage overcrowding in emergency departments","volume":"55","author":"Viera","year":"2022","journal-title":"IFAC Pap OnLine."},{"key":"10.1016\/j.jcjq.2026.08.002_bib0007","series-title":"2025 AMA Prior Authorization Physician Survey","year":"2026"},{"key":"10.1016\/j.jcjq.2026.08.002_bib0008","series-title":"Medical Expenditure Panel Survey: MEPS HC-229E: 2021 Emergency Room Visits File","year":"2023"},{"key":"10.1016\/j.jcjq.2026.08.002_bib0009","doi-asserted-by":"crossref","first-page":"1449","DOI":"10.1016\/j.acra.2015.06.019","article-title":"Expectations among academic clinicians of inpatient imaging turnaround time: does it correlate with satisfaction?","volume":"22","author":"Chan","year":"2015","journal-title":"Acad Radiol."},{"key":"10.1016\/j.jcjq.2026.08.002_bib0010","doi-asserted-by":"crossref","first-page":"759.e19","DOI":"10.1016\/j.crad.2018.04.007","article-title":"Reducing interruptions during duty radiology shifts, assessment of its benefits and review of factors affecting the radiology working environment","volume":"73","author":"Bell","year":"2018","journal-title":"Clin Radiol."},{"key":"10.1016\/j.jcjq.2026.08.002_bib0011","first-page":"1","article-title":"Characteristics of office-based physician visits by age, 2019","volume":"184","author":"Ashman","year":"2023","journal-title":"Natl Health Stat Report"}],"container-title":["The Joint Commission Journal on Quality and Patient Safety"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1553725026001959?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1553725026001959?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T08:55:18Z","timestamp":1789721718000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1553725026001959"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8]]},"references-count":11,"alternative-id":["S1553725026001959"],"URL":"https:\/\/doi.org\/10.1016\/j.jcjq.2026.08.002","relation":{},"ISSN":["1553-7250"],"issn-type":[{"value":"1553-7250","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Direct to Radiology Emergency Avoidance Management (DREAM): A Quality Improvement Research Study on Reducing Emergency Department Overcrowding","name":"articletitle","label":"Article Title"},{"value":"The Joint Commission Journal on Quality and Patient Safety","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jcjq.2026.08.002","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2026 Joint Commission. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}