Overcrowded ERs: analysis of the phenomenon and managing proposals

  • Gianni Rastelli | lucia.zoppi@pagepress.org Pronto Soccorso e Medicina d’Urgenza, Dipartimento di Emergenza-Urgenza e della Diagnostica, Ospedale di Fidenza-S. Secondo; Azienda USL di Parma, .
  • Mario Cavazza Medicina d’Urgenza e Pronto Soccorso, Dipartimento di Emergenza/Urgenza, Chirurgia generale e dei Trapianti; Azienda Ospedaliero-Universitaria di Bologna - Policlinico S. Orsola-Malpighi, Bologna, .
  • Gianfranco Cervellin Pronto Soccorso e Medicina d’Urgenza, Dipartimento di Emergenza-Urgenza; Azienda Ospedaliero-Universitaria di Parma, .

Abstract

The “overcrowding” in Emergency Departments (EDs) and its potentially negative consequences, is a well known phenomenon in western countries. The causes of this phenomenon in this area are: constantly decreased number of hospital beds, increased number of ED visits and demographic changes (increasing prevalence of elderly people and migrants). Overcrowding in EDs accounts different timing of various care-paths (e.g. door-to-balloon time in STEMI) and also influences the degree of care given to patients. Moreover overcrowding has also been considered as a first-line cause of doctor’s and nurse’s burnout and of verbal or physical assault. The overcrowding phenomenon seems to be more effectively influenced by interventions directed to improve patient’s output from ED to wards; by contrast interventions directed to limit ED visits failed to be effective.

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Author Biographies

Gianni Rastelli, Pronto Soccorso e Medicina d’Urgenza, Dipartimento di Emergenza-Urgenza e della Diagnostica, Ospedale di Fidenza-S. Secondo; Azienda USL di Parma
Mario Cavazza, Medicina d’Urgenza e Pronto Soccorso, Dipartimento di Emergenza/Urgenza, Chirurgia generale e dei Trapianti; Azienda Ospedaliero-Universitaria di Bologna - Policlinico S. Orsola-Malpighi, Bologna
Gianfranco Cervellin, Pronto Soccorso e Medicina d’Urgenza, Dipartimento di Emergenza-Urgenza; Azienda Ospedaliero-Universitaria di Parma
Published
2010-06-10
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Issue
Section
Organization and Education
Keywords:
overcrowding, Emergency Departments,
Statistics
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  • PDF: 5738
How to Cite
Rastelli, G., Cavazza, M., & Cervellin, G. (2010). Overcrowded ERs: analysis of the phenomenon and managing proposals. Emergency Care Journal, 6(2), 25-35. https://doi.org/10.4081/ecj.2010.2.25