Kenny James F, Chang Betty C, Hemmert Keith C
Milstein Adult Emergency Department, NewYork-Presbyterian Hospital, Department of Emergency Medicine, Columbia University Irving Medical Center, 622 West 168th Street, Suite VC2-260, New York, NY 10032, USA.
Milstein Adult Emergency Department, NewYork-Presbyterian Hospital, Department of Emergency Medicine, Columbia University Irving Medical Center, 622 West 168th Street, Suite VC2-260, New York, NY 10032, USA.
Emerg Med Clin North Am. 2020 Aug;38(3):573-587. doi: 10.1016/j.emc.2020.04.001. Epub 2020 Jun 8.
Emergency department crowding is a multifactorial issue with causes intrinsic to the emergency department and to the health care system. Understanding that the causes of emergency department crowding span this continuum allows for a more accurate analysis of its effects and a more global consideration of potential solutions. Within the emergency department, boarding of inpatients is the most appreciable effect of hospital-wide crowding, and leads to further emergency department crowding. We explore the concept of emergency department crowding, and its causes, effects, and potential strategies to overcome this problem.
急诊科拥挤是一个多因素问题，其成因既与急诊科本身有关，也与医疗保健系统有关。认识到急诊科拥挤的成因贯穿这一连续体，有助于更准确地分析其影响，并从更全面的角度考虑潜在的解决方案。在急诊科内部，住院患者滞留是全院拥挤最明显的影响，进而导致急诊科更加拥挤。我们探讨了急诊科拥挤的概念、其成因、影响以及解决这一问题的潜在策略。
