Overcrowding in emergency departments: A review of strategies to decrease future challenges

(2017) Overcrowding in emergency departments: A review of strategies to decrease future challenges. Journal of Research in Medical Sciences. ISSN 1735-1995

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Abstract

Emergency departments (EDs) are the most challenging ward with respect to patient delay. The goal of this study is to present strategies that have proven to reduce delay and overcrowding in EDs. In this review article, initial electronic database search resulted in a total of 1006 articles. Thirty articles were included after reviewing full texts. Inclusion criteria were assessments of real patient flows and implementing strategies inside the hospitals. In this study, we discussed strategies of team triage, point-of-care testing, ideal ED patient journey models, streaming, and fast track. Patients might be directed to different streaming channels depending on clinical status and required practitioners. The most comprehensive strategy is ideal ED patient journey models, in which ten interrelated substrategies are provided. ED leaders should apply strategies that provide a continuous care process without deeply depending on external services.

Item Type: Article
Keywords: emergency department overcrowding patient flow patient journey patient safety randomized controlled-trial led team triage cost-effectiveness lean principles patient safety care performance physician medicine quality
Divisions: Health Management and Economics Research Center
School of Management and Medical Information Sciences
Journal or Publication Title: Journal of Research in Medical Sciences
Journal Index: ISI
Volume: 22
Identification Number: Artn 23 10.4103/1735-1995.200277
ISSN: 1735-1995
Depositing User: مهندس مهدی شریفی
URI: http://eprints.mui.ac.ir/id/eprint/765

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