NEDOCS: is it really useful for detecting emergency department overcrowding today?
| Autor: | Buğra İlhan, Filiz Froohari Damarsoy, Nalan Metin Aksu, Mehmet Demir, Mehmet Mahir Kunt |
|---|---|
| Přispěvatelé: | [Belirlenecek] |
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Scoring system emergency department Attitude of Health Personnel overcrowding health care facilities manpower and services Observational Study Satisfaction Care national emergency department overcrowding study Young Adult 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires otorhinolaryngologic diseases Humans Medicine Prospective Studies 030212 general & internal medicine Health Services Needs and Demand Patient business.industry Public health Significant difference Emergency department overcrowding Scores social sciences General Medicine Emergency department Overcrowding medicine.disease Test (assessment) Crowding 030220 oncology & carcinogenesis population characteristics Female Observational study Uk Medical emergency Emergency Service Hospital business geographic locations Research Article |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 0025-7974 0005-5751 |
| DOI: | 10.1097/md.0000000000020478 |
| Popis: | The Emergency Department (ED) overcrowding is an ongoing problem all over the world. The scoring systems are available for the detection of this problem. This study aims to test the applicability of the National Emergency Department Overcrowding Study (NEDOCS) scoring system, one of the scoring systems that evaluate the ED overcrowding. In this prospective observational study, the survey was applied on on-duty doctors, nurses, paramedics, intern doctors, and ward persons working in a University Adult Emergency Department and agreed to participate in the study, between certain hours during the day and the NEDOCS score was calculated simultaneously. The demographic characteristics of the on-duty staff, overcrowding of ED, and the number of the on-duty staff members were recorded in the questionnaires. During the study, 153 measurements were performed, and 3221 questionnaires were filled. The NEDOCS mean score was determined as 101.59 and the most reached result was extremely busy but not overcrowded (32%). The ED was rated mostly as busy (33.7%) by the on-duty staff. A significant difference was found between ED overcrowding and NEDOCS score. There is a significant difference between ED overcrowding and on-duty emergency nurse and intern doctor count. The NEDOCS score is not suitable for evaluating ED overcrowding. Accurate determination of the ED overcrowding is very important to avoid the negative consequences of the ED overcrowding. Increasing emergency nurse and intern doctor count will decrease ED overcrowding. Also, there is an urgent need to constitute local hospitals and also public health policies to satisfy the increasingly ED's presentations. WOS:000557511400009 2-s2.0-85088052251 PubMed: 32664059 |
| Databáze: | OpenAIRE |
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