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本文引用的文献

1
Emergency department crowding: A systematic review of causes, consequences and solutions.急诊科拥挤：原因、后果和解决方案的系统评价。
PLoS One. 2018 Aug 30;13(8):e0203316. doi: 10.1371/journal.pone.0203316. eCollection 2018.
2
Emergency department crowding, part 1--concept, causes, and moral consequences.急诊科拥挤，第一部分——概念、原因及道德影响。
Ann Emerg Med. 2009 May;53(5):605-11. doi: 10.1016/j.annemergmed.2008.09.019. Epub 2008 Nov 22.
3
A conceptual model of emergency department crowding.急诊科拥挤的概念模型。
Ann Emerg Med. 2003 Aug;42(2):173-80. doi: 10.1067/mem.2003.302.

国际急救医学联合会关于急诊科拥挤和通道阻塞的报告：简要总结。

The International Federation for Emergency Medicine report on emergency department crowding and access block: A brief summary.

机构信息

Faculty of Medicine, University of Toronto, Toronto, ON, Canada.

Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, ON, Canada.

出版信息

CJEM. 2021 Jan;23(1):26-28. doi: 10.1007/s43678-020-00065-9. Epub 2021 Jan 14.

DOI:10.1007/s43678-020-00065-9
PMID:33683618
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7807403/
Abstract

OBJECTIVE

To develop comprehensive guidance that captures international impacts, causes, and solutions related to emergency department crowding and access block.

METHODS

Emergency physicians representing 15 countries from all IFEM regions composed the Task Force. Monthly meetings were held via video-conferencing software to achieve consensus for report content. The report was submitted and approved by the IFEM Board on June 1, 2020.

RESULTS

A total of 14 topic dossiers, each relating to an aspect of ED crowding, were researched and completed collaboratively by members of the Task Force.

CONCLUSIONS

The IFEM report is a comprehensive document intended to be used in whole or by section to inform and address aspects of ED crowding and access block. Overall, ED crowding is a multifactorial issue requiring systems-wide solutions applied at local, regional, and national levels. Access block is the predominant contributor of ED crowding in most parts of the world.

摘要

目的

制定全面的指导意见，以了解与急诊部门拥挤和通道阻塞相关的国际影响、原因和解决方案。

方法

来自 IFEM 所有区域的 15 个国家的急诊医生组成了工作组。每月通过视频会议软件举行会议，以就报告内容达成共识。该报告于 2020 年 6 月 1 日提交并获得 IFEM 理事会批准。

结果

工作组的成员共同研究并完成了总共 14 个专题档案，每个档案都涉及急诊拥挤的一个方面。

结论

IFEM 报告是一份全面的文件，旨在整体或部分使用，以告知和解决急诊拥挤和通道阻塞的各个方面。总体而言，急诊拥挤是一个多因素问题，需要在地方、地区和国家各级实施全系统的解决方案。在世界大部分地区，通道阻塞是急诊拥挤的主要原因。