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Javadzadeh HR, Davoudi A, Davoudi F, et al. Assigning residents of emergency medicine to screen patients before admission: a strategy to overcome overcrowding. Trauma Mon. 2012;16(4):191-3doi: 10.5812/kowsar.22517464.2923.
Javadzadeh, H. R., Davoudi, A., Davoudi, F., Mahmoodi, S., Ghane, M. R., Goodarzi, H., & Faraji, M. (2012). Assigning residents of emergency medicine to screen patients before admission: a strategy to overcome overcrowding. Trauma monthly, 16(4), 191-3. https://doi.org/10.5812/kowsar.22517464.2923
Javadzadeh, Hamid Reza, et al. "Assigning residents of emergency medicine to screen patients before admission: a strategy to overcome overcrowding." Trauma monthly vol. 16,4 (2012): 191-3. doi: https://doi.org/10.5812/kowsar.22517464.2923
Javadzadeh HR, Davoudi A, Davoudi F, Mahmoodi S, Ghane MR, Goodarzi H, Faraji M. Assigning residents of emergency medicine to screen patients before admission: a strategy to overcome overcrowding. Trauma Mon. 2012 Jan;16(4):191-3. doi: 10.5812/kowsar.22517464.2923. Epub 2012 Jan 15. PMID: 24749100; PMCID: PMC3989572.
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Trauma Mon. 2012 Jan;16(4):191-3. doi: 10.5812/kowsar.22517464.2923. Epub 2012 Jan 15.

Assigning residents of emergency medicine to screen patients before admission: a strategy to overcome overcrowding.

Trauma monthly

Hamid Reza Javadzadeh, Amir Davoudi, Farnoush Davoudi, Sadrollah Mahmoodi, Mohammad Reza Ghane, Hasan Goodarzi, Mehrdad Faraji

Affiliations

  1. Department of Emergency Medicine, Baqiyatallah University of Medical Sciences, Tehran, IR Iran.
  2. Department of Community Medicine, Tehran University of Medical Sciences, Tehran, IR Iran.

PMID: 24749100 PMCID: PMC3989572 DOI: 10.5812/kowsar.22517464.2923

Abstract

BACKGROUND: The overcrowded hospital is an unsafe one. Overcrowding the emergency department (ED) results in increased patient suffering, prolonged waiting time, deteriorating level of service, and on occasion, a worsened medical condition or even death.

OBJECTIVES: This study proposes a strategy to overcome ED overcrowding.

MATERIALS AND METHODS: The proportion of acute area admitted patients to screened patients (A/S), and the proportion of patients who were finally transferred to inpatient wards (W/A) to those admitted in ED acute area were investigated during 6 consecutive months. Emergency medicine residents were assigned to screen patients before ED admission and afterwards.

RESULTS: The average A/S changed from 82.4% to 44.2% (P = 0.028), and the average W/A changed from 28.3% to 51.48% (P = 0.028) before and after screening patients respectively. The initiative resulted in 97 less patients in the acute area per day.

CONCLUSIONS: Decreased number of acute area admitted patients, and increase W/A proportion showed that the initiative was successful in obviating ED overcrowding while provision of care to those most in need was not altered.

Keywords: Emergency Services; Intervention

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