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Crowding measures associated with the quality of emergency department care: A systematic review

International Literature

posted by WM Admin on 28 May 2015

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International

The objective of this systematic review was to identify existing measures of emergency department (ED) crowding that have been linked to quality of care.

Thirty-two articles were included in the review (6 cross-sectional, 1 case-control, 23 cohort, and 2 retrospective reviews).

"The three measures most frequently linked to quality of care were the number of patients in the waiting room, ED occupancy (percentage of overall ED beds filled), and the number of admitted patients in the ED awaiting inpatient beds". However, the authors note that none of the articles linked measures to quality of care as defined by the Institute of Medicine (IOM) quality domains (safe, effective, patient-centered, efficient, timely, and equitable).

To read the full abstract, and for information on how to access the full text, go to: http://dx.doi.org/10.1111/acem.12682 or contact your DHB library, or organisational or local library for assistance.

Stang, A.S., et al. (2015). Crowding measures associated with the quality of emergency department care: A systematic review. Academic Emergency Medicine, 20 May [Epub before print].