The relationship between emergency department crowding and patient outcomes: a systematic review.
The relationship between emergency department crowding and patient outcomes: a systematic review.
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DOI：
10.1111/jnu.12055
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发表时间：
2014-03
期刊：
影响因子：
--
通讯作者：
Larson EL
中科院分区：
文献类型：
--
作者：
Carter EJ;Pouch SM;Larson EL
急诊室（艾德）拥挤是一个重要的病人安全问题与护理质量差。这项系统性综述的目的是评估艾德拥挤与患者结局之间的关系。我们检索了Medline搜索引擎和相关的急诊医学和护理期刊，以寻找过去十年中发表的与艾德拥挤和以下患者结局指标相关的研究：死亡率、发病率、患者满意度和离开艾德而不被发现。对所有文章进行了研究质量评价。共筛选了196篇摘要，11篇文章符合纳入标准。11项研究中有3项报告了艾德拥挤与入院或出院患者死亡率之间的显著正相关。五项研究报告说，艾德拥挤与患者离开艾德而不被发现的比例较高有关。艾德拥挤的测量在不同的研究中有所不同。艾德拥挤是与不良患者结局相关的主要患者安全问题。需要采取干预措施和政策来解决这一重大问题。本综述详细介绍了与艾德拥挤相关的不良患者结局。研究结果与医疗专业人员和那些在ED寻求护理的人有关。
Emergency department (ED) crowding is a significant patient safety concern associated with poor quality of care. The purpose of this systematic review is to assess the relationship between ED crowding and patient outcomes. We searched the Medline search engine and relevant emergency medicine and nursing journals for studies published in the past decade that pertained to ED crowding and the following patient outcome measures: mortality, morbidity, patient satisfaction, and leaving the ED without being seen. All articles were appraised for study quality. A total of 196 abstracts were screened and 11 articles met inclusion criteria. Three of the eleven studies reported a significant positive relationship between ED crowding and mortality either among patients admitted to the hospital or discharged home. Five studies reported that ED crowding is associated with higher rates of patients leaving the ED without being seen. Measures of ED crowding varied across studies. ED crowding is a major patient safety concern associated with poor patient outcomes. Interventions and policies are needed to address this significant problem. This review details the negative patient outcomes associated with ED crowding. Study results are relevant to medical professionals and those that seek care in the ED.
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影响因子：
3.7
作者：
Moher D;Shamseer L;Clarke M;Ghersi D;Liberati A;Petticrew M;Shekelle P;Stewart LA;PRISMA-P Group
通讯作者：
PRISMA-P Group
影响因子：
1.7
作者：
通讯作者：
--
影响因子：
4.4
作者：
Pines, Jesse M.;Garson, Chad;Hollander, Judd E.
通讯作者：
Hollander, Judd E.
影响因子：
4.4
作者：
McClelland, Mark Stephen;Lazar, Danielle;Pines, Jesse M.
通讯作者：
Pines, Jesse M.
影响因子：
6.2
作者：
Pitts, Stephen R.;Pines, Jesse M.;Kellermann, Arthur L.
通讯作者：
Kellermann, Arthur L.