AHRQ - AEM 2011 CC - Interventions to Assure Quality in the Crowded Emergency Dep

描述（由申请人提供）：急诊科（ED）拥挤已被医学研究所确定为公共卫生问题。它是由急诊科内的供需不匹配引起的，导致等待就诊、关键治疗和住院床位的时间很长。最近的研究表明，拥挤对护理的关键结果有负面影响，如并发症率和死亡率。需要在急诊科、医院、社区和国家政策层面采取解决方案，以减少拥挤并减轻拥挤对质量和结果的影响。该申请旨在为2011年急诊医学学术共识会议寻求资金支持，会议主题为“在拥挤的急诊科进行干预以保证质量”，会议将于2011年6月1日在马萨诸塞州波士顿举行。本次会议的总体目标是制定一个研究议程，确定有希望的干预措施，以保障在拥挤期间的急诊护理质量，并通过全系统的解决方案减少急诊科的拥挤。这一目标将通过三个单独的目标来实现：1)回顾已经实施的减少拥挤的干预措施，并总结其在提供急诊护理方面的有效性证据；2)确定医疗保健环境内外的策略（即政策、工程、运营管理、系统设计等），这些策略可能有助于减少拥挤或提高急诊拥挤期间提供的急诊护理质量。3)确定最合适的设计和分析技术，以严格评估旨在减少拥挤或提高急诊拥挤期间提供的急诊护理质量的急诊干预措施。

DESCRIPTION (provided by applicant): Emergency department (ED) crowding has been identified by the Institute of Medicine as a public health problem. It is caused by episodes of supply-demand mismatch within EDs that result in long waiting times to be seen, for critical treatments, and for inpatient bed placement. Recent studies have demonstrated that crowding has a negative impact on critical outcomes of care, such as complication rates and mortality. Solutions are needed at the ED, hospital, community and national policy levels to reduce crowding and mitigate the impact of crowding on quality and outcomes. This grant application seeks funding for the 2011 Society for Academic Emergency Medicine Consensus Conference titled, "Interventions to Assure Quality in the Crowded ED," which will take place on June 1, 2011 in Boston, Massachusetts. The overall objective of this conference will be to develop a research agenda that identifies promising interventions to safeguard the quality of emergency care during crowded periods and reduce ED crowding altogether through system-wide solutions. This goal will be achieved through three separate objectives: 1) review interventions that have been implemented to reduce crowding and summarize the evidence of their effectiveness on the delivery of emergency care, 2) identify strategies within or outside of the healthcare setting (i.e. policy, engineering, operations management, system design etc.) that may help reduce crowding or improve the quality of emergency care provided during episodes of ED crowding, and 3) identify the most appropriate design and analytic techniques for rigorously evaluating ED interventions designed to reduce crowding or improve the quality of emergency care provided during episodes of ED crowding. PUBLIC HEALTH RELEVANCE: This grant seeks funding for the 2011 Society for Academic Emergency Medicine Consensus Conference, which is titled, "Interventions to Assure Quality in the Crowded Emergency Department (ED)." The objective of this conference is to develop a research agenda that identifies promising interventions to safeguard the quality of emergency care during crowded periods and reduce ED crowding altogether through system-wide solutions.