Crowding In Health Care

nationwide problem of crowding in the emergency department. Crowding in the emergency department creates delays in care and has been proven to be most prevalent in urban and teaching hospitals across the country. The authors infer that since the institution of the Emergency Medical Treatment and Active Labor Act (EMTALA) in 1986, record numbers of individuals seeking care through the emergency department has skyrocketed. Patients either use the emergency department as the first line of care or the last line

capacity to meet demand. ED crowding has become a global phenomenon, and has been identified as national crisis in some countries (1) with nearly half of all EDs report operating near or above maximum capacity (2). Emergency department (EDs) in urban settings are experiencing extreme challenges in terms of overcrowding, long wait times, and decreased patient satisfaction (3). Several studies have identified that ED crowding contributes to reduced quality of patient care (4–6), delays in initiation

The quality of health care is one of the agenda in the health care system due to the dramatic transformation of health care system accompanied by new organizational structure and reimbursement strategies (Chuan, 2003). Quality is the degree to which services for individuals and populations increase the likely hood of desired health outcome and are consistent with current professional knowledge (Powell, 2008). Clinical indicators help to monitor the health care quality and it is related to structure

The presence of Emergency Department (ED) crowding, and long boarding times, hinders its ability to provide the quality and efficient care (Weiss, Rogers, Maas, Ernst, & Nick, 2014). According to Mullins and Pines (2014), an average patient in the United States spends more than 4 hours in the ED before being admitted to an inpatient unit. ED crowding and increased boarding time have negatively impacted bed availability, increased staff workload, decreased productivity, and lessened patient satisfaction

Emergency department (ED) over-crowding is an ever growing issue. Although the reasons for ED overcrowding are complex and caused by many different types of issues, a potential solution can be the application of the nursing theory, Health Promotion, for parents and caregivers of children with acute gastroenteritis (AGE). The purpose of this paper is to apply the Health Promotion Model (HPM), by Nola Pender, to assist nurses to understand the major determinants of health behaviors to promote healthy

become an international health crisis and been identified as a major threaten to public health. As defined by Australasian College for Emergency Medicine, overcrowding is a situation in which ED patients’ demand for services exceeds the staffing capacity to provide care within a reasonable length of time, thereby impeding ED function. Some has called ED as the safety net of the health care system, given its unique role in public health. However, the increasing problem of crowding and the associated impacts

As the ultimate safety net, Emergency Departments (EDs) are expected to care for any patient, at any time, under any circumstance. When EDs are overwhelmed in periods of surge, one solution is to redistribute the patients. A commonly used method of redistributing patients is ambulance diversion. Ambulance diversion is not a new phenomenon, and over time has become commonly employed by EDs to address the growing problem of ED overcrowding and saturation.1 As ED visits have increased through the years

Emergency Department crowding is a cause for great concern. It is costly and responsible for compromising quality of care and community trust (McHugh, VanDyke, McClelland, & Moss, 2011). According to McHugh et al. (2011), improving patient flow can mitigate ED crowding. This paper will describe a plan to implement an ED fast-track area (FTA) as one solution to improve patient flow and reduce ED crowding. The author will describe the approval process, review the problem, discuss the proposal, explain

Emergency Department Promptness By Improving Quality Care Outcome Nwakaego Ugorji Charles R. Drew University Mervyn M. Dymally School of Nursing Introduction About 50 million Americans do not have health insurance and, the emergency department seems to be the only way to get adequate health care. Doctors there see all patients who arrive, regardless of their health insurance status (Lobachova L, Brown DF, Sinclair J, Chang Y, Thielker KZ, Nagurney JT. 2014). The quantity

The Impact of Emergency Department Overcrowding: How it affect Nursing Professional Practice and Patient Care. Introduction The purpose of this study is to explore the effect overcrowded Emergency Departments (ED) have on the Registered Nurse and how it impacts patient care. According to The Emergency Physicians and National Emergency Nurses Affiliation (EPNENA) (2001), ED overcrowding is a state wherein the demand for service surpasses the capacity of physicians and nurses to provide healthcare