Overcrowding in the nation's emergency departments: Complex causes and disturbing effects
Overcrowding in the nation's emergency departments: Complex causes and disturbing effects
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DOI：
10.1016/s0196-0644(00)70105-3
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发表时间：
2000-01-01
影响因子：
6.2
通讯作者：
Richards, JR
中科院分区：
文献类型：
--
作者：
Derlet, RW;Richards, JR
十年前，急诊室严重人满为患成为一个全国性的问题。虽然情况暂时有所改善，但艾德院过度挤迫的问题现已重新出现，并有可能变得更糟。过度拥挤是由本文所述的一系列相互关联的复杂问题造成的。艾德过度拥挤有多种影响，包括将患者置于预后不良的风险中，一些患者的长期疼痛和痛苦，长时间的患者等待，患者不满，一些城市的救护车改道，降低医生的生产力，增加医务人员的挫折感，以及暴力。解决过度拥挤的问题不仅需要联邦政府和当地医院的重大财政承诺，还需要管理式医疗的合作。除非这个问题在不久的将来得到解决，否则公众可能无法再依靠急诊室提供优质和及时的紧急护理，从而使这个国家的人民处于危险之中。
Ten years ago, serious overcrowding in emergency departments became a national issue. Although temporary improvement of the problem occurred, the issue of ED overcrowding has now resurfaced and threatens to become worse. Overcrowding is caused by a complex web of interrelated issues described in this article. ED overcrowding has multiple effects, including placing the patient at risk for poor outcome, prolonged pain and suffering of some patients, long patient waits, patient dissatisfaction, ambulance diversions in some cities, decreased physician productivity, increased frustration among medical staff, and violence. Solving the problem of overcrowding will not only require a major financial commitment from the federal government and local hospitals, but will also require a cooperation from managed care. Unless the problem is solved in the near future, the general public may no longer be able to rely on EDs for quality and timely emergency care, placing the people of this country at risk.