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Review
. 2019 Aug 28;7(1):e52.
eCollection 2019.

Outcomes of Crowding in Emergency Departments; a Systematic Review

Hamid Reza Rasouli  1 , Ali Aliakbar Esfahani  2 , Mohammad Nobakht  2 , Mohsen Eskandari  2 , Sardollah Mahmoodi  1 , Hassan Goodarzi  1 , Mohsen Abbasi Farajzadeh  2
Affiliations
Review

Outcomes of Crowding in Emergency Departments; a Systematic Review

Hamid Reza Rasouli et al. Arch Acad Emerg Med. .

Abstract

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: 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.

Keywords: Crowding; emergency service; hospital; outcome assessment; systematic review.

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Conflict of interest statement

No conflicts of interest

Figures

Figure 1
Figure 1
Study selection flowchart
See this image and copyright information in PMC

References

    1. Higginson I. Emergency department crowding. Emerg Med J. 2012;29(6):437–43. - PubMed
    1. Derlet RW, Richards JR. Ten solutions for emergency department crowding. Western Journal of Emergency Medicine. 2008;9(1) - PMC - PubMed
    1. Makama JG, Iribhogbe P, Ameh EA. Overcrowding of accident & emergency units: is it a growing concern in Nigeria? African health sciences. 2015;15(2):457–65. - PMC - PubMed
    1. Rathlev NK, Chessare J, Olshaker J, Obendorfer D, Mehta SD, Rothenhaus T, et al. Time series analysis of variables associated with daily mean emergency department length of stay. Annals of emergency medicine. 2007;49(3):265–71. - PubMed
    1. Yarmohammadian MH, Rezaei F, Haghshenas A, Tavakoli N. Overcrowding in emergency departments: a review of strategies to decrease future challenges. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences. 2017:22. - PMC - PubMed

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