Emergency department and hospital crowding: causes, consequences, and cures

Peter Mckenna; Samita M Heslin; Peter Viccellio; William K Mallon; Cristina Hernandez; Eric J Morley

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자료유형: 학술저널

저자정보: Peter Mckenna (Department of Emergency Medicine Stony Brook University Hospital Stony Brook NY USA) Samita M Heslin (Department of Emergency Medicine Stony Brook University Hospital Stony Brook NY USA) Peter Viccellio (Department of Emergency Medicine Stony Brook University Hospital Stony Brook NY USA) William K Mallon (Department of Emergency Medicine Stony Brook University Hospital Stony Brook NY USA) Cristina Hernandez (Department of Emergency Medicine Stony Brook University Hospital Stony Brook NY USA) Eric J Morley (Department of Emergency Medicine Stony Brook University Hospital Stony Brook NY USA)

저널정보: 대한응급의학회 Clinical and Experimental Emergency Medicine Clinical and Experimental Emergency Medicine Vol.6 No.3

발행연도: 2019.1

수록면: 189 - 195 (7page)

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Overcrowding with associated delays in patient care is a problem faced by emergency departments (EDs) worldwide. ED overcrowding can be the result of poor ED department design and prolonged throughput due to staffing, ancillary service performance, and flow processes. As such, the problem may be addressed by process improvements within the ED. A broad body of literature demonstrates that ED overcrowding can be a function of hospital capacity rather than an ED specific issue. Lack of institutional capacity leads to boarding in the ED with resultant ED crowding. This is a problem not solvable by the ED and must be addressed as an institution-wide problem. This paper discusses the causes of ED overcrowding, provides a brief overview of the drastic consequences, and discusses possible cures that have been successfully implemented.

#Crowding #Emergency service #hospital #Patient safety

참고문헌 (69)

참고문헌 신청

American College of Emergency Physicians / Policy statement:crowding

Richardson DB / 2009 / Myths versus facts in emergency department overcrowding and hospital access block / Med J Aust 190:369~374

Viccellio P / 2001 / Emergency department overcrowding: an action plan / Acad Emerg Med 8:185~187

US Department of Health & Human Services / National hospital ambulatory medical care survey: 2012 emergency department summary tables

National Emergency Medical Center / 2012 Yearbook of emergency medical statistics

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