Feferman I, Cornell C
Emergency Services, Scarborough General Hospital, Ont.
CMAJ. 1989 Feb 1;140(3):273-6.
Overcrowding in emergency departments presents serious problems to both patients and hospital staff. At Scarborough (Ontario) General Hospital this problem was becoming potentially dangerous until a hospital committee instituted a series of changes that dramatically improved the situation. A geriatrician was appointed to assess and care for the increasing number of elderly and chronic care patients. The beds in various services were reallocated, and more beds were given to the medical service. Surgeons agreed to perform more surgery on an outpatient basis, and the Short-Stay and Ambulatory Procedures units were expanded to handle more procedures. In addition, the implementation of a physician-managed admission system ensured the appropriate admission of patients. The entire system is monitored, and the committee meets regularly to deal with any problems.
急诊科人满为患给患者和医院工作人员都带来了严重问题。在安大略省士嘉堡综合医院，这个问题一度变得极具危险性，直到医院委员会实施了一系列变革，才使情况得到显著改善。一名老年病科医生被任命来评估和照料日益增多的老年患者及慢性病患者。各个科室的床位进行了重新分配，更多床位被分配给了内科。外科医生同意增加门诊手术量，短期住院和门诊手术科室也进行了扩建，以处理更多手术。此外，实施由医生管理的入院系统确保了患者的合理入院。整个系统受到监控，委员会定期开会处理任何问题。
