Overcrowding in emergency department: an international issue
| Autor: | Louella Vaughan, Irene Lalle, Massimo Magnanti, Salvatore Di Somma, Lorenzo Paladino, Laura Magrini |
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| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Internationality Time Factors Psychological intervention Overcrowding Emergency department Organizational procedures Acute care Health care Internal Medicine medicine Humans Bed Occupancy business.industry Public health Overcrowding Emergency department medicine.disease Crowding Organizational Innovation Mass-casualty incident Emergency medicine Costs and Cost Analysis Emergency Medicine Medical emergency Emergency Service Hospital business Delivery of Health Care |
| Zdroj: | Internal and Emergency Medicine. 10:171-175 |
| ISSN: | 1970-9366 1828-0447 |
| DOI: | 10.1007/s11739-014-1154-8 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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