Fornero Giulio, Arione Roberto, Fiandra Umberto, Rapellino Marco, Bono Alessia, Moiraghi Corrado, Gianino Maria Michela
Direzione Sanitaria, Azienda Ospedaliero Universitaria San Giovanni Battista di Torino.
Ig Sanita Pubbl. 2011 Sep-Oct;67(5):541-52.
Overcrowding in Emergency Departments (ED) is a common phenomenon worldwide, especially in metropolitan areas. The main reason for overcrowding is not inappropriate emergency department use by patients but rather a shortage of available hospital beds which results in extended ED stays for patients who need emergency admission. The aims of this study, conducted at the San Giovanni Battista (Molinette) University hospital in Turin (Italy), were a) to verify the existence of overcrowding in the hospital ED and b) to test whether, as stated in the literature, overcrowding is due to restricted access to hospital beds for patients needing emergency admission, and to identify contributing factors. Results show the existence of overcrowding and confirm the hypothesized cause.
急诊科过度拥挤是全球普遍存在的现象，在大都市地区尤为明显。过度拥挤的主要原因并非患者不恰当使用急诊科，而是可用医院病床短缺，这导致需要紧急入院的患者在急诊科停留时间延长。这项在意大利都灵的圣乔瓦尼·巴蒂斯塔（莫利内特）大学医院开展的研究，目的一是核实医院急诊科是否存在过度拥挤，二是检验文献中所述的过度拥挤是否因需要紧急入院的患者难以获得医院病床所致，并确定促成因素。结果表明存在过度拥挤情况，并证实了假设的原因。
