The relationship between emergency department crowding and patient outcomes: a systematic review

Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing
Eileen J CarterElaine L Larson

Abstract

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 m...Continue Reading

References

Mar 3, 2005·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Steven K PolevoiNathan R Kramer
Jan 28, 2006·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·UNKNOWN Emergency Nurses Association
Mar 7, 2006·The Medical Journal of Australia·Drew B Richardson
Nov 14, 2006·The American Journal of Emergency Medicine·Teri L Vieth, Karin V Rhodes
Dec 23, 2006·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Phillip V AsaroStuart B Boxerman
Nov 30, 2007·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jesse M PinesJudd E Hollander
Apr 25, 2008·Annals of Emergency Medicine·Nathan R Hoot, Dominik Aronsky
Apr 25, 2008·Emergency Medicine Journal : EMJ·P GilliganD Hegarty
Nov 15, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Steven L BernsteinUNKNOWN Society for Academic Emergency Medicine, Emergency Department Crowding Task Force
Nov 26, 2008·Annals of Emergency Medicine·John C MoskopKelly J Bookman
Feb 27, 2009·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jesse M PinesElizabeth M Datner
Jun 25, 2009·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jesse M PinesJudd E Hollander
Feb 23, 2010·International Journal of Surgery·David MoherUNKNOWN PRISMA Group
Feb 15, 2011·Advanced Emergency Nursing Journal·Kimberly D Johnson, Chris Winkelman
Jan 1, 2010·International Journal of Emergency Medicine·Daniel A HandelCarlos A Camargo
May 17, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Ula HwangSteven L Bernstein
May 17, 2011·Annals of Emergency Medicine·Peter B SmulowitzBruce E Landon
May 21, 2011·Health Affairs·Brent C James, Lucy A Savitz
Dec 16, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jesse M PinesMichael J Schull
Dec 16, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Stephanie Spellman KennebeckScott D Reeves
Dec 16, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Mark Stephen McClellandJesse M Pines
Jul 13, 2012·The New England Journal of Medicine·Jeremiah D Schuur, Arjun K Venkatesh
Apr 16, 2013·Journal of the American Geriatrics Society·Mayuko UchidaElaine Larson

❮ Previous
Next ❯

Citations

Aug 15, 2015·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Orlaith O'ReillyGarry Courtney
Mar 8, 2016·International Emergency Nursing·Lena M BergKatarina E Göransson
Dec 3, 2015·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Louis Lind PlesnerKasper Iversen
Mar 24, 2016·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Kathleen Carlson
Sep 12, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Matthew P MullerElaine Larson
Apr 1, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Nikolaj RaaberHans Kirkegaard
Nov 5, 2015·Emergency Medicine Journal : EMJ·Shammi RamlakhanRuth Brown
Jul 24, 2015·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·James GalipeauDavid Moher
Oct 15, 2014·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Penne A MarinoElizabeth J Thompson
Mar 22, 2015·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Regina E NailonRosanna Morris
Jun 16, 2016·BMC Emergency Medicine·Andreas Halgreen EisetHans Kirkegaard
Aug 22, 2016·Journal of Biomedical Informatics·Sarah Ben OthmanJean-Marie Renard
Oct 12, 2016·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Rasmus Bo HasselbalchKasper Iversen
Dec 17, 2016·Journal of General Internal Medicine·Carl O ErikssonJeanne-Marie Guise
Jul 5, 2017·Public Health Nursing·Jillian WeberDonna Martsolf
May 10, 2017·Australian Health Review : a Publication of the Australian Hospital Association·Rita KinsellaSallie Cowan
Feb 13, 2018·Emergency Medicine Journal : EMJ·Hanni StoklosaJ Stephen Bohan
Jun 20, 2018·Emergency Medicine Journal : EMJ·Elaine Rabin
Oct 26, 2018·Circulation. Cardiovascular Quality and Outcomes·Dennis T KoHarlan M Krumholz
Mar 7, 2019·Journal of Korean Academy of Nursing·Heejung ChoiSoo Young An
Dec 7, 2018·JBI Database of Systematic Reviews and Implementation Reports·Ana Paula Santos de JesusDiná de Almeida Lopes Monteiro da Cruz
Jun 13, 2019·Revista gaúcha de enfermagem·Leticia Passos PereiraAdriane Domingues Eslabão
Jul 19, 2017·Clinical and Experimental Emergency Medicine·Hyunho JeongSungyoup Hong
Aug 21, 2019·Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz·Cathleen Muche-BorowskiMartin Scherer
Aug 29, 2019·Cadernos de saúde pública·Cláudia Tartaglia ReisMônica Martins
Feb 7, 2020·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Robyn Clay-WilliamsJeffrey Braithwaite
Aug 18, 2016·JBI Database of Systematic Reviews and Implementation Reports·Eduardo SantosJoão Apóstolo
Oct 4, 2018·Pediatric Emergency Care·Judith W DexheimerYizhao Ni

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

© 2021 Meta ULC. All rights reserved