Under Pressure–TrolleyGar, a Metric Reflecting a Hospital System at Crisis-Capacity

Introduction: Health service capacity has been an issue in Ireland since the 1980s swinging cuts. Government reports from 2003 have consistently identified a requirement for 3,000-5,000 extra beds on top of current approximately 10,500 capacity. Acute hospital bed issues escalated, formal system recording “over capacity” patients or “patients trolleys” developed. A “Trolleygar” Service Executive (HSE) three times daily. This count is underestimate as temporarily housed day care units, surgical, medical assessment discharge lounges and other clinical areas which space are not counted this overcapacity measure. study's aim to calculate annual number days no were lodged trolleys Wexford General Hospital. Method: Descriptive study using anonymized freely available data national HSE Trolley GAR trolley Hospital January 2019 until September 2022. Golden Zero was stated there reported trolley-patients at time points, Silver when two periods recorded Bronze one period zero count. Results: Data collected 1,369 days, with 90 excluded due missing sets. There 162 (12.67% total days). The year 2020 highest 28.69% (105 days), followed by 2021 11.23% (41 During 3.84% (14 days) 2022 had lowest (January-September) 0.73% (2 Conclusion: Despite zero-tolerance policy, disappearing rapidly, urgently required post-pandemic ED attendance surges worldwide. True appropriate modeling.