Overcrowding in emergency department: an international issue
Salvatore Di Somma,Lorenzo Paladino,Louella Vaughan,Irene Lalle,Laura Magrini,Massimo Magnanti +5 more
TLDR
This manuscript represents a synopsis of the lectures on overcrowding problems in the ED of the Third Italian GREAT Network Congress, held in Rome, 15–19 October 2012, and hopefully, they may provide valuable contributions in the understanding of ED crowding solutions.Abstract:
Overcrowding in the emergency department (ED) has become an increasingly significant worldwide public health problem in the last decade. It is a consequence of simultaneous increasing demand for health care and a deficit in available hospital beds and ED beds, as for example it occurs in mass casualty incidents, but also in other conditions causing a shortage of hospital beds. In Italy in the last 12-15 years, there has been a huge increase in the activity of the ED, and several possible interventions, with specific organizational procedures, have been proposed. In 2004 in the United Kingdom, the rule that 98 % of ED patients should be seen and then admitted or discharged within 4ho f presentation to the ED ('4 hr ule') was intro- duced, and it has been shown to be very effective in decreasing ED crowding, and has led to the development of further acute care clinical indicators. This manuscript represents a synopsis of the lectures on overcrowding problems in the ED of the Third Italian GREAT Network Congress, held in Rome, 15-19 October 2012, and hope- fully, they may provide valuable contributions in the understanding of ED crowding solutions.read more
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References
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Journal ArticleDOI
Systematic Review of Emergency Department Crowding: Causes, Effects, and Solutions
Nathan R. Hoot,Dominik Aronsky +1 more
TL;DR: A structured overview of the literature may help to identify future directions for the crowding research agenda and provide valuable contributions toward better understanding and alleviating the daily crisis.
Journal ArticleDOI
The effect of emergency department crowding on clinically oriented outcomes
Steven L. Bernstein,Dominik Aronsky,Reena Duseja,Stephen K. Epstein,Dan Handel,Ula Hwang,Melissa L. McCarthy,K. John McConnell,Jesse M. Pines,Niels K. Rathlev,Robert W. Schafermeyer,Frank L. Zwemer,Michael J. Schull,Brent R. Asplin +13 more
TL;DR: A growing body of data suggests that ED crowding is associated both with objective clinical endpoints, such as mortality, as well as clinically important processes of care,such as time to treatment for patients with time-sensitive conditions such as pneumonia.
Journal ArticleDOI
The association between hospital overcrowding and mortality among patients admitted via Western Australian emergency departments
TL;DR: The relationship between hospital and emergency department occupancy, as indicators of hospital overcrowding, and mortality after emergency admission, is examined to examine the relationship between hospitals overcrowding and ED occupancy.
Journal ArticleDOI
Increase in patient mortality at 10 days associated with emergency department overcrowding.
TL;DR: To quantify any relationship between emergency department overcrowding and 10‐day patient mortality, a large-scale study of accident and emergency departments in the Netherlands found no relationship.
Journal ArticleDOI
Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada
TL;DR: Presenting to an emergency department during shifts with longer waiting times, reflected in longer mean length of stay, is associated with a greater risk in the short term of death and admission to hospital in patients who are well enough to leave the department.
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