Outcomes of Crowding in Emergency Departments; a Systematic Review
Introduction: Emergency Department (ED) crowding is a global public health phenomenon affecting access and quality of care. In this study, we seek to conduct a systematic review concerning the challenges and outcomes of ED crowding. Methods: This systematic review utilized original research article...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Shahid Beheshti University of Medical Sciences
2019-09-01
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| Series: | Archives of Academic Emergency Medicine |
| Subjects: | |
| Online Access: | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/332 |
| _version_ | 1818823848084111360 |
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| author | Hamid Reza Rasouli Ali Aliakbar Esfahani Mohammad Nobakht Mohsen Eskandari Sardollah Mahmoodi Hassan Goodarzi Mohsen Abbasi Farajzadeh |
| author_facet | Hamid Reza Rasouli Ali Aliakbar Esfahani Mohammad Nobakht Mohsen Eskandari Sardollah Mahmoodi Hassan Goodarzi Mohsen Abbasi Farajzadeh |
| author_sort | Hamid Reza Rasouli |
| collection | DOAJ |
| description | Introduction: Emergency Department (ED) crowding is a global public health phenomenon affecting access and quality of care. In this study, we seek to conduct a systematic review concerning the challenges and outcomes of ED crowding.
Methods: This systematic review utilized original research articles published from 1st January 2007, to 1st January 2019. Relevant articles from the PubMed (MEDLINE), EMBASE, and Google scholar databases were extracted using predesigned keywords. Following the PRISMA guidelines, two reviewers independently evaluated the quality of the studies using Critical Appraisal Skills Programme for cohort studies and qualitative studies, and Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument for studies.
Results:Â Out of the total of 73 articles in the final record, we excluded 15 of them because of poor quality. This systematic review synthesized the reports of 58 original articles. The outcomes of multiple individual patients and healthcare-related challenges are comprehensively assessed.
Conclusions: ED crowding affects individual patients, healthcare systems and communities at large. The negative influences of crowding on healthcare service delivery result in delayed service delivery, poor quality care, and inefficiency; all negatively affecting the emergency patients' healthcare outcomes, in turn. |
| first_indexed | 2024-12-18T23:46:29Z |
| format | Article |
| id | doaj.art-5808eb0933684f9cb0c09e27f67ad2d4 |
| institution | Directory Open Access Journal |
| issn | 2645-4904 |
| language | English |
| last_indexed | 2024-12-18T23:46:29Z |
| publishDate | 2019-09-01 |
| publisher | Shahid Beheshti University of Medical Sciences |
| record_format | Article |
| series | Archives of Academic Emergency Medicine |
| spelling | doaj.art-5808eb0933684f9cb0c09e27f67ad2d42022-12-21T20:47:11ZengShahid Beheshti University of Medical SciencesArchives of Academic Emergency Medicine2645-49042019-09-017110.22037/aaem.v7i1.332332Outcomes of Crowding in Emergency Departments; a Systematic ReviewHamid Reza Rasouli0Ali Aliakbar Esfahani1Mohammad Nobakht2Mohsen Eskandari3Sardollah Mahmoodi4Hassan Goodarzi5Mohsen Abbasi Farajzadeh6Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.Marine Medicine Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.Marine Medicine Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.Marine Medicine Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.Marine Medicine Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.Introduction: Emergency Department (ED) crowding is a global public health phenomenon affecting access and quality of care. In this study, we seek to conduct a systematic review concerning the challenges and outcomes of ED crowding. Methods: This systematic review utilized original research articles published from 1st January 2007, to 1st January 2019. Relevant articles from the PubMed (MEDLINE), EMBASE, and Google scholar databases were extracted using predesigned keywords. Following the PRISMA guidelines, two reviewers independently evaluated the quality of the studies using Critical Appraisal Skills Programme for cohort studies and qualitative studies, and Joanna Briggs Institute Meta-Analysis of Statistics Assessment and Review Instrument for studies. Results:Â Out of the total of 73 articles in the final record, we excluded 15 of them because of poor quality. This systematic review synthesized the reports of 58 original articles. The outcomes of multiple individual patients and healthcare-related challenges are comprehensively assessed. Conclusions: ED crowding affects individual patients, healthcare systems and communities at large. The negative influences of crowding on healthcare service delivery result in delayed service delivery, poor quality care, and inefficiency; all negatively affecting the emergency patients' healthcare outcomes, in turn.https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/332Crowdingoutcome assessmentemergency servicehospitalsystematic review |
| spellingShingle | Hamid Reza Rasouli Ali Aliakbar Esfahani Mohammad Nobakht Mohsen Eskandari Sardollah Mahmoodi Hassan Goodarzi Mohsen Abbasi Farajzadeh Outcomes of Crowding in Emergency Departments; a Systematic Review Archives of Academic Emergency Medicine Crowding outcome assessment emergency service hospital systematic review |
| title | Outcomes of Crowding in Emergency Departments; a Systematic Review |
| title_full | Outcomes of Crowding in Emergency Departments; a Systematic Review |
| title_fullStr | Outcomes of Crowding in Emergency Departments; a Systematic Review |
| title_full_unstemmed | Outcomes of Crowding in Emergency Departments; a Systematic Review |
| title_short | Outcomes of Crowding in Emergency Departments; a Systematic Review |
| title_sort | outcomes of crowding in emergency departments a systematic review |
| topic | Crowding outcome assessment emergency service hospital systematic review |
| url | https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/332 |
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