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Another Look at the Persistent Moral Problem of Emergency Department Crowding.
Moskop, John C; Geiderman, Joel M; Marshall, Kenneth D; McGreevy, Jolion; Derse, Arthur R; Bookman, Kelly; McGrath, Norine; Iserson, Kenneth V.
Afiliación
  • Moskop JC; Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, NC. Electronic address: jmoskop@wakehealth.edu.
  • Geiderman JM; Ruth and Harry Roman Emergency Department, Department of Emergency Medicine, and Center for Healthcare Ethics, Burns and Allen Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA.
  • Marshall KD; Department of Emergency Medicine and Department of History and Philosophy of Medicine, University of Kansas Health System, Kansas City, KS.
  • McGreevy J; Department of Emergency Medicine, Mount Sinai School of Medicine, New York, NY, and Center for Bioethics, Harvard Medical School, Boston, MA.
  • Derse AR; Center for Bioethics and Medical Humanities, Institute for Health and Society, and Department of Emergency Medicine, Medical College of Wisconsin, Milwaukee, WI.
  • Bookman K; Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO.
  • McGrath N; Department of Emergency Medicine and John J. Lynch, MD, Center for Ethics, Medstar Washington Medical Center, Washington, DC.
  • Iserson KV; Department of Emergency Medicine, University of Arizona, Tucson, AZ.
Ann Emerg Med ; 74(3): 357-364, 2019 09.
Article en En | MEDLINE | ID: mdl-30579619
ABSTRACT
This article revisits the persistent problem of crowding in US hospital emergency departments (EDs). It begins with a brief review of origins of this problem, terms used to refer to ED crowding, proposed definitions and measures of crowding, and causal factors. The article then summarizes recent studies that document adverse moral consequences of ED crowding, including poorer patient outcomes; increased medical errors; compromises in patient physical privacy, confidentiality, and communication; and provider moral distress. It describes several organizational strategies implemented to relieve crowding and implications of ED crowding for individual practitioners. The article concludes that ED crowding remains a morally significant problem and calls on emergency physicians, ED and hospital leaders, emergency medicine professional associations, and policymakers to collaborate on solutions.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aglomeración / Servicio de Urgencia en Hospital Tipo de estudio: Prognostic_studies Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Ann Emerg Med Año: 2019 Tipo del documento: Article

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aglomeración / Servicio de Urgencia en Hospital Tipo de estudio: Prognostic_studies Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Ann Emerg Med Año: 2019 Tipo del documento: Article