[Emergency overcrowding and hospital organization: Causes and solutions].
La saturation de la structure des urgences et le rôle de l'organisation hospitalière : réflexions sur les causes et les solutions.
Boarding
Emergency department
Internal medicine
Lits d'aval
Management
Médecine interne
Overcrowding
Saturation
Structure des urgences
Journal
La Revue de medecine interne
ISSN: 1768-3122
Titre abrégé: Rev Med Interne
Pays: France
ID NLM: 8101383
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
04
01
2020
revised:
14
04
2020
accepted:
05
05
2020
pubmed:
31
8
2020
medline:
23
2
2021
entrez:
31
8
2020
Statut:
ppublish
Résumé
Emergency Department (ED) overcrowding is a silent killer. Thus, several studies in different countries have described an increase in mortality, a decrease in the quality of care and prolonged hospital stays associated with ED overcrowding. Causes are multiple: input and in particular lack of access to lab test and imaging for general practitioners, throughput and unnecessary or time-consuming tasks, and output, in particular the availability of hospital beds for unscheduled patients. The main cause of overcrowding is waiting time for available beds in hospital wards, also known as boarding. Solutions to resolve the boarding problem are mostly organisational and require the cooperation of all department and administrative levels through efficient bed management. Elderly and polypathological patients wait longer time in ED. Internal Medicine, is the ideal specialty for these complex patients who require time for observation and evaluation. A strong partnership between the ED and the internal medicine department could help to reduce ED overcrowding by improving care pathways.
Identifiants
pubmed: 32861534
pii: S0248-8663(20)30214-9
doi: 10.1016/j.revmed.2020.05.023
pii:
doi:
Types de publication
Journal Article
Langues
fre
Sous-ensembles de citation
IM
Pagination
693-699Informations de copyright
Copyright © 2020. Published by Elsevier Masson SAS.