Influence of Overcrowding in the Emergency Department on Return Visit within 72 Hours

Journal of Clinical Medicine

JoonMin Park¹  JiHoon Kim²  MinJoung Kim²  Dong-uk Kim²  JiHwan Lee²  YooSeok Park²  NathanJ Brown³  Kevin Chu³ 

[1] Department of Emergency Medicine, Inje University Ilsan Paik Hospital, 170 Juhwa-ro, Ilsanseo-gu, Goyang-si, Gyeonggi-do 10380, Korea;Department of Emergency Medicine, Yonsei University College of Medicine, 50 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea;Emergency and Trauma Centre, Royal Brisbane and Women’s Hospital, Butterfield Street, Herston QLD 4029, Australia;

关键词: emergency department;    crowding;    return visit;    admission;    patient satisfaction;    quality of healthcare;   

DOI  :  10.3390/jcm9051406

来源: DOAJ

【 摘 要 】

This study was conducted to determine whether overcrowding in the emergency department (ED) affects the occurrence of a return visit (RV) within 72 hours. The crowding indicator of index visit was the average number of total patients, patients under observation, and boarding patients during the first 1 and 4 hours from ED arrival time and the last 1 h before ED departure. Logistic regression analysis was conducted to determine whether each indicator affects the occurrence of RV and post-RV admission. Of the 87,360 discharged patients, 3743 (4.3%) returned to the ED within 72 hours. Of the crowding indicators pertaining to total patients, the last 1 h significantly affected decrease in RV (p = 0.0046). Boarding patients were found to increase RV occurrence during the first 1 h (p = 0.0146) and 4 hours (p = 0.0326). Crowding indicators that increased the likelihood of admission post-RV were total number of patients during the first 1 h (p = 0.0166) and 4 hours (p = 0.0335) and evaluating patients during the first 1 h (p = 0.0059). Overcrowding in the ED increased the incidence of RV and likelihood of post-RV admission. However, overcrowding at the time of ED departure was related to reduced RV.

【 授权许可】

Unknown