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

描述(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。这是由急诊室内供需错配的情况造成的，这导致了等待就诊、关键治疗和住院床位放置的时间很长。最近的研究表明，拥挤对关键护理结果有负面影响，如并发症发生率和死亡率。需要在急诊科、医院、社区和国家政策层面采取解决办法，以减少拥挤和减轻拥挤对质量和结果的影响。这项拨款申请旨在为2011年学术急救医学学会共识会议寻求资金，该会议将于2011年6月1日在马萨诸塞州波士顿举行，主题为“确保拥挤的急诊室质量的干预措施”。这次会议的总体目标将是制定一个研究议程，确定有希望的干预措施，以保障拥挤时期的紧急护理质量，并通过系统范围的解决方案完全减少急诊室的拥挤。这一目标将通过三个单独的目标来实现：1)审查为减少拥挤而实施的干预措施，并总结其在提供紧急护理方面的有效性的证据；2)确定医疗保健环境内外的战略(即政策、工程、业务管理、系统设计等)。这可能有助于减少拥挤或提高急诊拥挤期间提供的紧急护理的质量，以及3)确定最适当的设计和分析技术，以严格评估旨在缓解拥挤或提高急诊拥挤期间提供的急救护理质量的急诊干预措施。 与公共健康相关：这笔赠款为2011年学术急诊医学共识会议寻求资金，该会议的标题是“确保拥挤的急诊科(ED)质量的干预措施”。这次会议的目的是制定一个研究议程，确定有希望的干预措施，以保障拥挤时期的紧急护理质量，并通过系统范围的解决方案完全减少急诊室的拥挤。

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.