(2012) Assigning residents of emergency medicine to screen patients before admission: a strategy to overcome overcrowding. Trauma Mon. pp. 191-3. ISSN 2251-7464 (Print) 2251-7472
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Abstract
BACKGROUND: The overcrowded hospital is an unsafe one. Overcrowding the emergency department (ED) results in increased patient suffering, prolonged waiting time, deteriorating level of service, and on occasion, a worsened medical condition or even death. OBJECTIVES: This study proposes a strategy to overcome ED overcrowding. MATERIALS AND METHODS: The proportion of acute area admitted patients to screened patients (A/S), and the proportion of patients who were finally transferred to inpatient wards (W/A) to those admitted in ED acute area were investigated during 6 consecutive months. Emergency medicine residents were assigned to screen patients before ED admission and afterwards. RESULTS: The average A/S changed from 82.4 to 44.2 (P = 0.028), and the average W/A changed from 28.3 to 51.48 (P = 0.028) before and after screening patients respectively. The initiative resulted in 97 less patients in the acute area per day. CONCLUSIONS: Decreased number of acute area admitted patients, and increase W/A proportion showed that the initiative was successful in obviating ED overcrowding while provision of care to those most in need was not altered.
Item Type: | Article |
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Keywords: | Emergency Services Intervention |
Divisions: | |
Page Range: | pp. 191-3 |
Journal or Publication Title: | Trauma Mon |
Journal Index: | Pubmed |
Volume: | 16 |
Number: | 4 |
Identification Number: | https://doi.org/10.5812/kowsar.22517464.2923 |
ISSN: | 2251-7464 (Print) 2251-7472 |
Depositing User: | مهندس مهدی شریفی |
URI: | http://eprints.bmsu.ac.ir/id/eprint/2093 |
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