Relevant bibliographies by topics / Hospital overcrowding

Academic literature on the topic 'Hospital overcrowding'

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Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Hospital overcrowding"

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Mishra, S. "Hospital overcrowding." Western Journal of Medicine 174, no. 3 (March 1, 2001): 170. http://dx.doi.org/10.1136/ewjm.174.3.170.

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AMERICANCOLLEGEOFEMERGENCYPHY. "Hospital and emergency department overcrowding." Annals of Emergency Medicine 19, no. 3 (March 1990): 336. http://dx.doi.org/10.1016/s0196-0644(05)82059-1.

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Robakowska, Marlena, Anna Tyrańska-Fobke, Daniel Ślęzak, Michał Rogowski, Andrzej Basiński, and Sylwia Jałtuszewska. "Increased demand for services provided in hospital emergency departments." Emergency Medical Service 9, no. 1 (2022): 43–47. http://dx.doi.org/10.36740/emems202201107.

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Increase in demand for health services in HED (Hospital Emergency Department) and their increasing this greater overcrowding is known from the English language as overcrowding. The concept of overcrowding is also inherently related to the notion of frequent use of assistance in the SOR. However, no uniform criterion for defining this concept has been developed so far. The aim of this study is to present the causes of the phenomenon of overcrowding and the related issues of patients’ functioning in the health care system. The main reasons for this phenomenon are the demographic aspect, i.e. the extension of the average age of many societies, but also the tendency of patients to omit medical assistance at the primary health care level and go directly to the HED as facilities with greater diagnostic and therapeutic possibilities. The consequences of the overcrowding phenomenon are, above all, an increase in the costs of HED functioning, longer waiting times for health services provided in the HED and excessive workload of the staff employed there. Currently, overcrowding has been recognized as a global public health problem.
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Cameron, Peter A. "Hospital overcrowding: a threat to patient safety?" Medical Journal of Australia 184, no. 5 (March 2006): 203–4. http://dx.doi.org/10.5694/j.1326-5377.2006.tb00200.x.

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Virtanen, Marianna, Jussi Vahtera, G. David Batty, Katinka Tuisku, Jaana Pentti, Tuula Oksanen, Paula Salo, Kirsi Ahola, and Mika Kivimäki. "Overcrowding in psychiatric wards and physical assaults on staff: data-linked longitudinal study." British Journal of Psychiatry 198, no. 2 (February 2011): 149–55. http://dx.doi.org/10.1192/bjp.bp.110.082388.

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BackgroundPatient overcrowding and violent assaults by patients are two major problems in psychiatric healthcare. However, evidence of an association between overcrowding and aggressive behaviour among patients is mixed and limited to small-scale studies.AimsThis study examined the association between ward overcrowding and violent physical assaults in acute-care psychiatric in-patient hospital wards.MethodLongitudinal study using ward-level monthly records of bed occupancy and staff reports of the timing of violent acts during a 5-month period in 90 in-patient wards in 13 acute psychiatric hospitals in Finland. In total 1098 employees (physicians, ward head nurses, registered nurses, licensed practical nurses) participated in the study. The outcome measure was staff reports of the timing of physical assaults on both themselves and ward property.ResultsWe found that 46% of hospital staff were working in overcrowded wards, as indicated by >10 percentage units of excess bed occupancy, whereas only 30% of hospital personnel were working in a ward with no excess occupancy. An excess bed occupancy rate of >10 percentage units at the time of an event was associated with violent assaults towards employees (odds ratio (OR) = 1.72, 95% CI 1.05–2.80; OR = 3.04, 95% CI 1.51–6.13 in adult wards) after adjustment for confounding factors. No association was found with assaults on ward property (OR = 1.06, 95% CI 0.75–1.50).ConclusionsThese findings suggest that patient overcrowding is highly prevalent in psychiatric hospitals and, importantly, may increase the risk of violence directed at staff.
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Hou, Wanxin, Shaowen Qin, and Campbell Henry Thompson. "Effective Response to Hospital Congestion Scenarios: Simulation-Based Evaluation of Decongestion Interventions." International Journal of Environmental Research and Public Health 19, no. 23 (December 6, 2022): 16348. http://dx.doi.org/10.3390/ijerph192316348.

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Hospital overcrowding is becoming a major concern in the modern era due to the increasing demand for hospital services. This study seeks to identify effective and efficient ways to resolve the serious problem of congestion in hospitals by testing a range of decongestion strategies with simulated scenarios. In order to determine more efficient solutions, interventions with smaller changes were consistently tested at the beginning through a simulation platform. In addition, the implementation patterns were investigated, which are important to hospital managers with respect to the decisions made to control hospital congestion. The results indicated that diverting a small number of ambulances seems to be more effective and efficient in congestion reduction compared to other approaches. Furthermore, instead of implementing an isolated approach continuously, combining one approach with other strategies is recommended as a method for dealing with hospital overcrowding.
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Savioli, Gabriele, Iride Francesca Ceresa, Nicole Gri, Gaia Bavestrello Piccini, Yaroslava Longhitano, Christian Zanza, Andrea Piccioni, Ciro Esposito, Giovanni Ricevuti, and Maria Antonietta Bressan. "Emergency Department Overcrowding: Understanding the Factors to Find Corresponding Solutions." Journal of Personalized Medicine 12, no. 2 (February 14, 2022): 279. http://dx.doi.org/10.3390/jpm12020279.

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It is certain and established that overcrowding represents one of the main problems that has been affecting global health and the functioning of the healthcare system in the last decades, and this is especially true for the emergency department (ED). Since 1980, overcrowding has been identified as one of the main factors limiting correct, timely, and efficient hospital care. The more recent COVID-19 pandemic contributed to the accentuation of this phenomenon, which was already well known and of international interest. Considering what would appear to be a trivial definition of overcrowding, it may seem simple for the reader to hypothesize solutions for what seems to be one of the most avoidable problems affecting the hospital system. However, proposing solutions to overcrowding, as well as their implementation, cannot be separated from a correct and precise definition of the issue, which must consider the main causes and aggravating factors. In light of the need of finding solutions that can put an end to hospital overcrowding, this review aims, through a review of the literature, to summarize the triggering factors, as well as the possible solutions that can be proposed.
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Kondro, Wayne. "Hospital overcrowding forces Canda to boost healthcare spending." Lancet 353, no. 9153 (February 1999): 653. http://dx.doi.org/10.1016/s0140-6736(05)75453-2.

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Simmons, Florence M. "CEU: Hospital overcrowding: An opportunity for case managers." Case Manager 16, no. 4 (July 2005): 52–54. http://dx.doi.org/10.1016/j.casemgr.2005.06.004.

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Hoyle, Lisa. "Condition Yellow: A Hospital-Wide Approach to ED Overcrowding." Journal of Emergency Nursing 39, no. 1 (January 2013): 40–45. http://dx.doi.org/10.1016/j.jen.2011.07.020.

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Dissertations / Theses on the topic "Hospital overcrowding"

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Najjaar, Leilah. "Bed utilisation trends in selected wards across eight district hospitals in the Cape Town district." University of the Western Cape, 2018. http://hdl.handle.net/11394/6889.

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Master of Public Health - MPH
Background: The largest focus areas for the department of health is ensuring access to quality healthcare. The district health system (DHS) model remains the vehicle used by the district managers to deliver on the health department’s goals, objectives and priority focus areas. Strengthening the district health system platform is therefore important to the department to improve access and quality of care to the clients serviced in the province. The district hospitals play a fundamental role since they support primary health care (PHC) and serve as the entry point to more specialised care. The efficient management of beds in the district hospitals is the key in ensuring access to care and preventing bed blocking. Bed Utilisation Rate (BUR) and Average Length of Stay (ALOS) are indicators used to measure the efficiency of hospital beds. This study provides a description of the trends in bed utilisation within the inpatient wards of eight district hospitals in the Cape Town metro district in the 2016-2017 financial period. Methodology: To analyse and compare wards a quantitative approach was used. Inpatient ward activity reports for eight district hospitals were accessed from the department of health’s routine data collection repository. A total of fifty-five wards were compared across small and large hospitals for BUR and ALOS during the financial year period 1 April 2016 to 31 March 2017. Data entry was done in MS EXCEL and analyses were done using STATA 11.0.
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Al, Essa Fares Mohammed. "Approaches and solutions to hospital emergency department overcrowding including failure mode and effect analysis as a risk assessment technique of real-time locating system." Thesis, University of Exeter, 2013. http://hdl.handle.net/10871/16063.

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Emergency Departments (ED) are highly dynamic environments comprising complex multi-dimensional patient-care processes. In recent decades, there has been increased pressure to improve ED services, while taking into account various aspects such as clinical quality, operational efficiency, and cost performance. Overcrowding has become a major barrier to receiving a proper and timely emergency care in many acute hospitals throughout the world. Patients often face long waiting times to be seen and treated. Those who require admission may even wait longer. The scope of this research is to focus on ED factors that lead to overcrowding and their management. Technology is being cited as one of the management tools, specifically the utilization of Radio Frequency Identification (RFID) for tracking patients as their journey progresses through an ED. Like any technology, RFID has potential and pitfalls. The author chose to use Failure Mode and Effect Analysis (FMEA) as a tool to explore the possible failures of RFID technology as it is utilized in one of the ED in Riyadh Military Hospital (RMH). This particular ED has been used as a case study to explore those failures and, with the use of FMEA, propose a set of recommendations to address those failures and improve the design and implementation of RFID. The experience of RMH-ED was explored through interviews and a survey in which 100 participants took part. The survey touched upon various aspects of this experience. This was due to the various roles of the surveyed staff who were involved with this technology. These roles ranged from front line clinical staff to administrative staff, management staff and technical support staff. Data analysis showed convincing evidence of the positive impact RFID had on managing ED overcrowding. However, and as expected, there are some pitfalls and failures that FMEA helped identifying and suggested potential solutions to them. RFID is a small link in the chain of other technological innovations and solutions. It is by no means capable of solving the problems associated with ED overcrowding by itself. Most of the search carried out by the author identified large variation in approaches to dealing with the issue of ED overcrowding. Those ranged from applying more human resources to altering the pathways of managing patients journey through healthcare system to applying more intermediate layers of management to ease the pressure of the Emergency departments. Other approaches included some aspects of technology such as development of early warning systems that have not been widely adopted and remained as isolated efforts.
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Hensler, Erik, and Pontus Karlsson. "The Impact of Overcrowding and Pre-triage Nurses on Patient flow: A Comparative Study at the Emergency Department at Linkoping University Hospital." Thesis, Linköpings universitet, Kommunikations- och transportsystem, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-141684.

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Vid Linköpings Universitetssjukhus kommer en ny akutmottagning att öppna. En pre-triagesjuksköterska kommer sitta innanför ankomstentrén. Åtgärden kan reducera väntetid till medicinsk bedömning och vistelsetid på akutmottagningen. Studiens syfte var att undersöka hur överbelastning och pre-triagesjuksköterskan inverkar på patienters väntetid till medicinsk bedömning samt vistelsetid på en akutmottagning. Studien har även analyserat om pre-triagesjuksköterskans insatser inverkade på andelen patienter som erhöll en högre prioritet under vistelsetiden. Analyser utfördes med multipel linjär regression och urval av data. Slutsatser visar att överbelastning ökade både väntetid och vistelsetid. Pre-triagesjuksköterskan minskade väntetiden till medicinsk bedömning. Mer data behöver analyseras för att säkerställa resultatet för inverkan på vistelsetid. Mer data behövs före slutsatsen om pre-triagesjuksköterskans inverkan på andelen patienter som får högre prioritet.
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Scremin, Simone Medianeira. "Emergência lotada : percepções dos residentes sobre o trabalho multiprofissional." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2017. http://hdl.handle.net/10183/158621.

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A superlotação dos serviços de emergência em hospitais gerais é notícia constante nos mais diversos meios de divulgação. O trabalho desenvolvido no setor que atende acima da sua capacidade é difícil e rodeado de tensão. Os profissionais que atuam nos Serviços de emergência, bem como, nos hospitais de ensino, em função da exigência e das dificuldades encontradas, precisam ter identificação profissional e motivação para o trabalho. Refletir sobre essa realidade é a principal missão desse trabalho. O cenário escolhido para o estudo foi o Serviço de Emergência de um Hospital de Ensino, que além de prestar um atendimento de excelência, tem por objetivo oferecer treinamentos em serviço para acadêmicos e residentes. A ideia do estudo foi compreender os processos e dados de realidade que permeiam o Serviço de Emergência do Hospital de Clínicas de Porto Alegre, a partir da percepção dos residentes sobre a superlotação e propor estratégias educativas e psicoeducativas, que auxiliem a equipe na melhor condução dos casos atendidos. Para dar conta da complexidade deste cenário, nos aventuramos a trilhar pelo caminho da cartografia como método de pesquisa-intervenção. Iniciamos o percurso descrevendo o cenário que servirá de campo de análise, aspectos relacionados a sua história, estrutura física, bem como, as especificidades do Serviço de Emergência. Ao longo do texto apresentamos uma breve revisão histórica da criação do hospital e do hospital-escola e sobre os serviços de emergências e urgências hospitalares, focalizando na questão da superlotação, o pano de fundo desse trabalho. Ao final da parte teórica há um apanhado sobre questões relacionadas à modalidade de aprendizagem através da formação em serviço, ou seja, as residências médicas e multidisciplinares. Acionamos a investigação a partir de dois encontros realizados com os residentes do Serviço de Emergência, contamos com a participação dos residentes do primeiro ano da Residência Integrada Multiprofissional em Saúde e da Residência em Medicina de Emergência. Participaram da pesquisa todos os residentes que permanecem por, no mínimo, um ano no Serviço de Emergência, totalizando dez residentes, sendo sete da Residência Integrada Multiprofissional em Saúde, ênfase Adulto Crítico e três da Residência em Medicina de Emergência. Estimulado pelo processo de análise e o discurso dos residentes constatamos que o trabalho desenvolvido no Serviço precisa ser realizado de forma coletiva, reforçando a importância de cada vez mais se fortalecer o trabalho interprofissional, assim como, investir na construção de atendimentos que levem em conta a humanização e a integralidade do cuidado. A expectativa é que este trabalho possa servir de estímulo para uma mudança de paradigma pedagógico através de ações educativas e psicoeducativas que possam trazer benefícios à qualidade da assistência prestada ao paciente, tanto a fornecida pela equipe contratada pela instituição quanto pelos estudantes que estão ali para se capacitarem, através da formação em serviço.
The overcrowding situation in general hospitals´ medical emergency services is constantly in the news in many media resources. The work developed in a sector that operates above its normal capacity is difficult and surrounded by tension. The staff who work in emergency services as well as in teaching hospitals need to have professional identification and work motivation due to the demands and difficulties found in these environments. The main objective of the present work is to reflect on this reality. The chosen scenario for this study was the Emergency Service of an educational hospital, which besides offering excellence in patient care services, has the objective of offering in-service training to residents and interns. The idea of the study was to understand the processes and reality data that permeate through Hospital de Clínicas de Porto Alegre´s Emergency Service from the perception of residents on overcrowding. As well as to propose educative and psycho-educative strategies, that could help teams in the best possible conduct with the attended cases. To help us understand this complex scenario, we used the cartography method of research-intervention. We started this trajectory describing this scenario that will serve as an analysis field; history related aspects, physical structure, as well as the Emergency Service specificities. Throughout the study, we present a brief historical review of the hospital and teaching hospital creation and the emergency and urgency services, focusing on the overcrowding situation, which is the backdrop of this study. At the end of the theoretical chapter there is a brief overview related to in-services training modality, namely medical and multidisciplinary residences. The investigation originated from two meetings with the Emergency Service residents. We had the collaboration of the first year residents of the Multidisciplinary Integrated Residency and the Emergency Medical Residency. All residents who participated in the study worked for a minimum of one year in the environment, giving a total of ten residents. Seven of which were from the Multi-professional Residence with emphasis in adult critical care, and three Medical Emergency residents. Stimulated by the analysis process and the residents’ dialogs, we recognised that the work developed in the Emergency Service needs to be accomplished collectively, reinforcing the relevance of strengthening the inter-professional work as well as investing in patient care that prioritises humanization and integrated care. The expectation of this work is to serve as an incentive for a pedagogic paradigm shift through psycho-educational and educational actions and that it can bring benefits to the quality of care given to patients, as much for the care provided by the team contracted by the institution as for the students who are there to train through practical experience.
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Skow-Pucel, Christine S. "The feasibility and implementation of a fast track as one solution to overcrowding in the emergency department." Laramie, Wyo. : University of Wyoming, 2006. http://proquest.umi.com/pqdweb?did=1203553641&sid=1&Fmt=2&clientId=18949&RQT=309&VName=PQD.

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Ajmi, Faten. "Méthodes d’ordonnancement et d’orchestration dynamique des tâches de soins pour optimiser la prise en charge des patients dans les urgences hospitalières." Thesis, Ecole centrale de Lille, 2019. http://www.theses.fr/2019ECLI0009/document.

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Le service des urgences est un important service de soins qui représente le goulot d'étranglement de l'hôpital. Les urgences sont souvent confrontées à des problèmes de tension dans de nombreux pays à travers le monde. L'une des causes de la tension dans les urgences est l'interférence permanente entre trois types de patients : les patients déjà programmés, les patients non programmés et les patients non programmés urgents. Le but de cette thèse est de contribuer à l'étude et au développement d'un système d’aide à la décision pour améliorer la prise en charge des patients aussi bien en mode de fonctionnement normal qu’en mode tension. Deux principaux processus ont été développé. Un processus d’ordonnancement à horizon glissant en utilisant un algorithme mimétique avec l’intégration des opérateurs génétiques contrôlés pour déterminer un calendrier optimal de passage des patients. Le deuxième processus d’orchestration dynamique, à base d’agents communicants, tient compte de la nature dynamique et incertaine de l'environnement des urgences en actualisant continuellement ce calendrier. Cette orchestration pilote en temps réel le workflow du parcours patient, améliore pas à pas les indicateurs de performance durant l'exécution. Grâce aux comportements des agents et aux protocoles de communication, le système proposé a établi un lien direct en temps réel entre les performances requises sur le terrain et les actions afin de diminuer l'impact de la tension. Les résultats expérimentaux, mis en œuvre au CHRU de Lille, indiquent que l’application de nos approches permet d’améliorer les indicateurs de performance grâce aux pilotage par les agents du workflow en cours exécution
The emergency department is an important care service that represents the hospital's bottleneck. Emergencies often face overcrowding problems in many countries worldwide. One of the causes of the emergency department overcrowding is the permanent interference between three types of arriving patients: already programmed patients, non-programmed patients and urgent non-programmed patients. The aim of this thesis is to contribute to the study and development a decision support system to improve patient management in both normal and overcrowding situation. Two main processes have been developed. A rolling-horizon scheduling process using a memetic algorithm with the integration of controlled genetic operators to determine an optimal schedule for patient. The second dynamic orchestration process, based on communicating agents, takes into account the dynamic and uncertain nature of the emergency environment by continually updating this schedule for patient. This orchestration monitoring in real time the workflow of the patient pathway improves step by step the performance indicators during the execution. Through agent behaviors and communication protocols, the proposed system has established a direct real-time link between the required performances and the effective actions in order to decrease the overcrowding impact. The experimental results in this thesis, implemented at the Regional University Hospital Center (RUHC) of Lille, justify the interest of the application of our approaches to improve the performance indicators thanks to the agents driven patient pathway workflows during their execution
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Bittencourt, Roberto José. "A superlotação dos serviços de emergência hospitalar como evidência de baixo desempenho organizacional." reponame:Repositório Institucional da FIOCRUZ, 2010. https://www.arca.fiocruz.br/handle/icict/2568.

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Made available in DSpace on 2011-05-04T12:42:04Z (GMT). No. of bitstreams: 0 Previous issue date: 2010
O estudo teve como objetivo investigar a superlotação nos serviços de emergência hospitalar (SEH). Para tal, foram elaborados dois artigos, já publicados. O primeiro, elaborado durante a crise dos serviços de emergência hospitalar de 2005, discutiu as características estruturantes do Programa QUALISUS do Ministério da Saúde do Brasil, em curso de implantação, analisou as especificidades desses serviços e fez algumas considerações sobre o sistema de saúde do município do Rio de Janeiro, sede do início do programa QUALISUS. Com a complexidade do cenário onde o programa era implementado, exemplificado pela grave crise na assistência àqueles que demandavam cuidados nos serviços de emergência, assim como as características da matriz da qualidade sugerida pelo programa, cuja ênfase é na reorganização da rede dos serviços de emergência e na recepção dos serviços de emergência hospitalar, voltados para o acolhimento e a classificação de risco, optou-se pelo aprofundamento do estudo sobre os SEH. A partir de uma revisão sistemática, discutiu-se as intervenções voltadas para solucionar o problema da superlotação dos Serviços de Emergência Hospitalar, e identificou-se evidências de baixo desempenho organizacional. A revisão sistemática partiu de um universo de 2.992 títulos, onde foram selecionados 822 títulos para análise de resumos e textos integrais, entre o período de 2000 a junho de 2007. A superlotação foi caracterizada como um fenômeno mundial, com causas e conseqüências. As intervenções que interferiram positivamente no principal indicador da superlotação, o tempo de permanência no SEH, apontaram para a melhoria do fluxo de saída dos pacientes dos serviços de emergência hospitalar, através do aumento do desempenho organizacional. Os resultados dessa revisão desmistificaram as soluções que aumentam as barreiras de acesso ou melhoram a estrutura dos SEH. Os dois artigos se complementam, na medida em que, a análise do contexto da implantação de um programa institucional de qualidade e dos seus conceitos, suscitou a necessidade de investigar mais profundamente as características desses serviços e propor hipóteses para solucionar seus graves problemas.
The study aimed to investigate the overcrowding in the public hospitals emergency rooms (ER). For such, two articles had been elaborated and are already published. The first one is related to the crisis of the public hospitals emergency rooms services which took place in the year of 2005 in Brazil. It presents the major characteristics of the Ministry of Health QUALISUS Program, analyzes the specificities of these services and made some considerations about the city of Rio de Janeiro health system, QUALISUS headquarter. Given the complexity of the broad picture where the program was implemented, leaded by the serious crisis in the emergency rooms medical care, as well as the characteristics of the quality matrix suggested by the program, whose emphasis is the reorganization of the emergency services network and in the reception of the services of hospital emergency driven toward the shelter and the classification of risk, it was decided to deepen the research on the emergency room aspects. From a thorough systematic review based on a universe of 2.992 titles, 882 full articles and abstracts from the period between 2.000 and 2.007 were analyzed. Overcrowding was characterized as a world-wide phenomenon, with causes and consequences. Among the main aspects, this literature raise up a range of interventions to solve the emergency room overcrowding. Low organizational performance is a scientific finding. Interventions that had modified positively the main indicator of overcrowding, the time of permanence in the emergency room, dealt with the improvement of the patients discharge from emergency rooms through the increase of the organizational performance. The results of this systematic revision had demystified the solutions that increase access barriers or improve the structure of the emergency room. The two articles are complementary: the analysis of a quality institutional program concepts and implementation rose up the need to better understand the major characteristics of the emergency room services to identify hypothesis to solve its major problems.
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Meissenheimer, Corina. "The impact of overcrowding on registered nurses in the paediatric emergency department at a tertiary hospital." Diss., 2014. http://hdl.handle.net/10500/13938.

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The purpose of this qualitative study was to explore and describe the extent to which registered nurses’ practice was affected by emergency department overcrowding. Participants were recruited from a tertiary hospital by using the purpose sampling method. Data collection was done using a semi-structured interview guide. Individual interviews were conducted with eight registered nurses working in the paediatric emergency department. Data analysis was conducted using thematic content analysis and Yin’s (2003:178) five-phase cycle. The study findings revealed that the lack of professional nurse leadership and the difficult existing relationship with the physicians were obstacles that had to be obviated if the paediatric ED were to function optimally and best practice were to be achieved. It was revealed that a problematic issue in the setting was that the most critical decisions on allocating where patients should be treated were made by physicians who have more authority than nurses. It was recommended that the ED need to be clearly defined in the policies as an outpatient, emergency care or as an episodic patient care area as “Admission” can mean admission to the ED or admission as an inpatient/boarded patient.
Health Studies
M.A. (Health Studies)
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Wang, Jonathan. "On Quantifying and Forecasting Emergency Department Overcrowding at Sunnybrook Hospital using Statistical Analyses and Artificial Neural Networks." Thesis, 2012. http://hdl.handle.net/1807/33580.

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Emergency department (ED) overcrowding is a challenge faced by many hospitals. One approach to mitigate overcrowding is to anticipate high levels of overcrowding. The purpose of this study was to forecast a measure of ED overcrowding four hours in advance to allow clinicians to prepare for high levels of overcrowding. The chosen measure of ED overcrowding was ED length of stay compliance measures set by the Ontario government. A feed-forward artificial neural network (ANN) was designed to perform a time series forecast on the number of patients that were non-compliant. Using the ANN compared to historical averages, a 70% reduction in the root mean squared error was observed as well as good discriminatory ability of the ANN model with an area under the receiver operating characteristic curve of 0.804. Therefore, using ANNs to forecast ED overcrowding gives clinicians an opportunity to be proactive, rather than reactive, in ED overcrowding crises.
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Pascasie, Kagobora. "Exploring phenomena overcrowding in the context of CHUK emergency department in Rwanda : nurses perspective." Thesis, 2008. http://hdl.handle.net/10413/9090.

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Emergency department overcrowding is a growing problem worldwide including Rwanda. Literature shows that this problem has an impact on the functioning of the health care system and the quality of care provided. Research Methodology. This study aimed at exploring the phenomenon of overcrowding in ED/CHUK. Fifty one self-administered questionnaires were distributed to 40 ED nurses; these comprised three questions related to demographic data and 48 questions related to overcrowding. Correlation between overcrowding and causes and overcrowding with outcomes was explored and the pearson's test demonstrated that there is no linear correlation between these variables. Results. Findings from the demographic data demonstrated that the majority (92%) of ED nurse's were young (aged between 20 to 35 years). The majority (74%) of ED nurses had less than one to three years of experience in ED. With regard to overcrowding characteristics; nurses reported that the patient's waiting time for a physician varied between less than 30 min to more than 180 min; ED beds occupancy varied between 1 hour to more than 24 hours; patients were placed in the ED hallways for 1 hour to more than 24 hours; waiting room occupancy varied between less than 1 hour to more than 24 hours. Nurses attributed overcrowding to a variety of causes, including; a lack of inpatients beds (95%), large volume of trauma patients (87%), patients with no urgent condition (66), inappropriate referral of chronic cases (61 %), space limitation in emergency department (76%) and insufficient acuity ED beds (74%). Perceived outcomes (impact) were also multiples including, boarding patient in ED (92%), increased stress among nurses (79%), stress among physicians (60%), and risk of poor outcomes (60%), staff dissatisfaction (58%), violence between health care providers and patients (60%) and increased patient waiting time (58%). Regarding the undertaken interventions to reduce ED overcrowding, 100% of respondent asserted that there was some sporadic interventions, but not consistent. Recommendations: Like in other countries ED/CHUK overcrowding is a complex problem that needs to be addressed by all stakeholders: CHUK managers, hospital staff, ED staff, Rwandan district hospitals and Ministry of health.
Thesis (M.N.)-University of KwaZulu-Natal, Durban, 2008.
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Books on the topic "Hospital overcrowding"

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Inc, Joint Commission Resources. Managing patient flow: Strategies and solutions for addressing hospital overcrowding. Oakbrook Terrace, IL: Joint Commission Resources, 2004.

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Williams, Eric Dewight. Predictive Modeling Reducing Emergency Department Wait Times: A Descriptive Analysis of Patient Overcrowding in Public Hospitals of Detroit, Michigan. Palmetto Publishing, 2022.

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Williams, Eric Dewight. Predictive Modeling Reducing Emergency Department Wait Times: A Descriptive Analysis of Patient Overcrowding in Public Hospitals of Detroit, Michigan. Palmetto Publishing, 2022.

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Book chapters on the topic "Hospital overcrowding"

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Calichman, Murray V. "Eliminating Hospital Overcrowding (Optimum O.R. Scheduling)." In SpringerBriefs in Health Care Management and Economics, 59–72. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-16365-5_12.

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Thapa, Rajip Raj, Moshiur Bhuiyan, Aneesh Krishna, and P. W. C. Prasad. "Application of RFID Technology to Reduce Overcrowding in Hospital Emergency Departments." In Lecture Notes in Information Systems and Organisation, 17–32. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-74817-7_2.

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Majrashi, Khalid, Hashem Almakramih, and Mohammed Gharawi. "Persuasive Design of a Mobile Application for Reducing Overcrowding in Saudi Hospital Emergency Departments." In Design, User Experience, and Usability: Design for Diversity, Well-being, and Social Development, 506–18. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-78224-5_35.

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Boyle, Laura M., Adele H. Marshall, and Mark Mackay. "Coxian Phase-Type Regression Models for Understanding the Relationship Between Patient Attributes, Overcrowding, and Length of Stay in Hospital Emergency Departments." In Springer Proceedings in Mathematics & Statistics, 53–64. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-39694-7_5.

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Calichman, Murray V. "How to Schedule Elective Patients in Hospitals to Gain Full Utilization of Resources and Eliminate Patient Overcrowding." In Predictive Analytics, 31–64. First edition. | Boca Raton, FL : CRC Press/Taylor & Francis Group, LLC, 2021. | Series: Advanced research in reliability and system assurance engineering: CRC Press, 2020. http://dx.doi.org/10.1201/9781003083177-3.

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"Hospital emergency department overcrowding: A social marketing approach." In Social Marketing, 458–67. Routledge, 2013. http://dx.doi.org/10.4324/9780203380925-37.

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Feretzakis, Georgios, Aikaterini Sakagianni, Dimitris Kalles, Evangelos Loupelis, Lazaros Tzelves, Vasileios Panteris, Rea Chatzikyriakou, et al. "Exploratory Clustering for Emergency Department Patients." In Studies in Health Technology and Informatics. IOS Press, 2022. http://dx.doi.org/10.3233/shti220775.

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Emergency department (ED) overcrowding is an increasing global problem raising safety concerns for the patients. Elaborating an effective triage system that properly separates patients requiring hospital admission remains difficult. The objective of this study was to compare a clustering-related technique assignment of emergency department patients with the admission output using the k-means algorithm. Incorporating such a model into triage practice could theoretically shorten waiting times and reduce ED overcrowding.
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Fakhfakh Maala, Khouloud, Sarah Ben-Othman, Laetitia Jourdan, Grégoire Smith, Jean-Marie Renard, Slim Hammadi, and Hayfa Zgaya Biau. "Ontology for Overcrowding Management in Emergency Department." In MEDINFO 2021: One World, One Health – Global Partnership for Digital Innovation. IOS Press, 2022. http://dx.doi.org/10.3233/shti220220.

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Emergency department (ED) overcrowding is an ongoing problem worldwide. Scoring systems are available for the detection of this problem. This study aims to combine a model that allows the detection and management of overcrowding. Therefore, it is crucial to implement a system that can reason model, rank ED resources and ED performance indicators based on environmental factors. Thus, we propose in this paper a new domain ontology (EDOMO) based on a new overcrowding estimation score (OES) to detect critical situations, specify the level of overcrowding and propose solutions to deal with these situations. Our approach is based on a real database created during more than four years from the Lille University Hospital Center (LUHC) in France. The resulting ontology is capable of modeling complete domain knowledge to enable semantic reasoning based on SWRL rules. The evaluation results show that the EDOMO is complete that can enhance the functioning of the ED.
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Lara-Millán, Armando. "Building a Public Hospital That Everyone Knows Is Too Small." In Redistributing the Poor, 120–48. Oxford University Press, 2021. http://dx.doi.org/10.1093/oso/9780197507896.003.0005.

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This chapter presents the historical transformation of the Los Angeles County hospital system in order to understand the restriction of medicine in large public hospitals. In contrast to a simple story of underfunding, the chapter details how legal demand and austerity pushed local government to reinvest in public healthcare but downsize inpatient capacity. Officials re-emphasized their patients less as local residents in need of urgent care and more as non-urgent patients, homeless, and immigrants in need of early intervention. Doing so allowed them to draw in funds from the federal government to reconfigure their healthcare systems away from inpatient care. In the process, however, legal and regulatory agencies began threatening public hospitals for dangerous overcrowding. Such pressure led directly to the development of waiting line management techniques—such as policing, closer observation of waiting patients, and opiate medication—that, in practice, worked to restrict care.
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Puerzer, Richard J. "Applying Automatic Data Collection Tools for Real-Time Patient Management." In Creating Knowledge-Based Healthcare Organizations, 65–77. IGI Global, 2005. http://dx.doi.org/10.4018/978-1-59140-459-0.ch006.

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The management of patients in healthcare facilities, such as outpatient clinics and hospital emergency departments, is a significant hospital management problem. In an effort to deal with the volume of patients who visit an emergency department, hospitals often haphazardly add more resources to their emergency department, such as hiring more personnel or adding more treatment rooms, without proper analysis of the impact of the additional resources on the system. These solutions can be quite expensive and yet their effect on improving problems in the system is often negligible. Knowledge management can make these challenges tractable and lead to more effective solutions. For example, through the application of an automated patient management system that collects and utilizes information concerning the status of patients, the flow of patients can be better managed. Hospitals can effectively deal with many of the problems associated with scheduling and overcrowding, and improve the quality of care provided by their institution. To accurately capture and provide access to the volume of precise information required to effectively manage a healthcare facility, an extensive information acquisition system must be created. The information collected can then be used for both real-time and long-term management decisions. These ideas are discussed and elaborated upon in this chapter.
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Conference papers on the topic "Hospital overcrowding"

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Pathirana, D. P. I. M., and N. De Silva. "Efficient workplace planning and designing strategies to reduce waiting time in the outpatient departments (OPD) of government hospitals in Sri Lanka." In 10th World Construction Symposium. Building Economics and Management Research Unit (BEMRU), University of Moratuwa, 2022. http://dx.doi.org/10.31705/wcs.2022.33.

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The waiting time is a major challenge for government hospitals around the world, particularly in developing countries, due to inefficient design and limited facilities. This waiting time causes long queues, especially in service providing facilities. Hence, queuing is considered a key performance indicator when evaluating the performance of healthcare facilities. The outpatient department (OPD) is the main division of a hospital that handles a large number of patients daily. This research aimed to provide solutions for minimising waiting time in OPD premises through efficient planning and designing strategies. This study applied the queuing theory for two case studies to analyse the waiting time of the patients at the OPD. Hospital records and field observations were used to gather data. Further solutions for minimising the waiting time were identified using semi-structured interviews with hospital management and a questionnaire survey with patients at OPD. Field observations revealed that there were long waiting queues and long waiting times at the registration counter and the consultant rooms. Due to increased demand for OPD services, unnecessary arrivals, a lack of resources, and patients’ ignorance of OPD procedures were identified as causes of overcrowding. Further, to minimise waiting time at the OPD, it should leverage the efficient designs with properly placed inquiry counters, walkways, and directions; provide adequate facilities such as a spacious waiting area, and restructuring should be implemented. The findings of the research mark valuable insights into government hospitals, and the proposed solutions will be useful for hospital management.
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Di Lin, Fabrice Labeau, Xidong Zhang, and GuiXia Kang. "Scheduling medical tests: A solution to the problem of overcrowding in a hospital emergency department." In 2012 IEEE 14th International Conference on e-Health Networking, Applications and Services (Healthcom 2012). IEEE, 2012. http://dx.doi.org/10.1109/healthcom.2012.6380074.

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Alkhalidi, Ammar, Mohammed Abu Nukta, Ashraf Dawagreh, and Moad Jadaan. "Chi-Squared Test to Investigate the Causes and Effects of Overcrowding In Emergency Department : *at King Abdullah University Hospital (KAUH)." In 2021 12th International Renewable Engineering Conference (IREC). IEEE, 2021. http://dx.doi.org/10.1109/irec51415.2021.9427809.

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G, Rahul, Alok Kumar Samanta, and G. Varaprasad. "A Lean Six Sigma approach to reduce overcrowding of patients and improving the discharge process in a super-specialty hospital." In 2020 International Conference on System, Computation, Automation and Networking (ICSCAN). IEEE, 2020. http://dx.doi.org/10.1109/icscan49426.2020.9262393.

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Caselli, G., D. De Santis, M. Delorme, and M. Iori. "A Mathematical Formulation for Reducing Overcrowding in Hospitals' Waiting Rooms." In 2021 IEEE International Conference on Industrial Engineering and Engineering Management (IEEM). IEEE, 2021. http://dx.doi.org/10.1109/ieem50564.2021.9673050.

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Reports on the topic "Hospital overcrowding"

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Bragg, Duane M. An Analysis of Emergency Department Overcrowding at The Johns Hopkins Hospital. Fort Belvoir, VA: Defense Technical Information Center, June 2001. http://dx.doi.org/10.21236/ada420959.

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Newman-Toker, David E., Susan M. Peterson, Shervin Badihian, Ahmed Hassoon, Najlla Nassery, Donna Parizadeh, Lisa M. Wilson, et al. Diagnostic Errors in the Emergency Department: A Systematic Review. Agency for Healthcare Research and Quality (AHRQ), December 2022. http://dx.doi.org/10.23970/ahrqepccer258.

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Objectives. Diagnostic errors are a known patient safety concern across all clinical settings, including the emergency department (ED). We conducted a systematic review to determine the most frequent diseases and clinical presentations associated with diagnostic errors (and resulting harms) in the ED, measure error and harm frequency, as well as assess causal factors. Methods. We searched PubMed®, Cumulative Index to Nursing and Allied Health Literature (CINAHL®), and Embase® from January 2000 through September 2021. We included research studies and targeted grey literature reporting diagnostic errors or misdiagnosis-related harms in EDs in the United States or other developed countries with ED care deemed comparable by a technical expert panel. We applied standard definitions for diagnostic errors, misdiagnosis-related harms (adverse events), and serious harms (permanent disability or death). Preventability was determined by original study authors or differences in harms across groups. Two reviewers independently screened search results for eligibility; serially extracted data regarding common diseases, error/harm rates, and causes/risk factors; and independently assessed risk of bias of included studies. We synthesized results for each question and extrapolated U.S. estimates. We present 95 percent confidence intervals (CIs) or plausible range (PR) bounds, as appropriate. Results. We identified 19,127 citations and included 279 studies. The top 15 clinical conditions associated with serious misdiagnosis-related harms (accounting for 68% [95% CI 66 to 71] of serious harms) were (1) stroke, (2) myocardial infarction, (3) aortic aneurysm and dissection, (4) spinal cord compression and injury, (5) venous thromboembolism, (6/7 – tie) meningitis and encephalitis, (6/7 – tie) sepsis, (8) lung cancer, (9) traumatic brain injury and traumatic intracranial hemorrhage, (10) arterial thromboembolism, (11) spinal and intracranial abscess, (12) cardiac arrhythmia, (13) pneumonia, (14) gastrointestinal perforation and rupture, and (15) intestinal obstruction. Average disease-specific error rates ranged from 1.5 percent (myocardial infarction) to 56 percent (spinal abscess), with additional variation by clinical presentation (e.g., missed stroke average 17%, but 4% for weakness and 40% for dizziness/vertigo). There was also wide, superimposed variation by hospital (e.g., missed myocardial infarction 0% to 29% across hospitals within a single study). An estimated 5.7 percent (95% CI 4.4 to 7.1) of all ED visits had at least one diagnostic error. Estimated preventable adverse event rates were as follows: any harm severity (2.0%, 95% CI 1.0 to 3.6), any serious harms (0.3%, PR 0.1 to 0.7), and deaths (0.2%, PR 0.1 to 0.4). While most disease-specific error rates derived from mainly U.S.-based studies, overall error and harm rates were derived from three prospective studies conducted outside the United States (in Canada, Spain, and Switzerland, with combined n=1,758). If overall rates are generalizable to all U.S. ED visits (130 million, 95% CI 116 to 144), this would translate to 7.4 million (PR 5.1 to 10.2) ED diagnostic errors annually; 2.6 million (PR 1.1 to 5.2) diagnostic adverse events with preventable harms; and 371,000 (PR 142,000 to 909,000) serious misdiagnosis-related harms, including more than 100,000 permanent, high-severity disabilities and 250,000 deaths. Although errors were often multifactorial, 89 percent (95% CI 88 to 90) of diagnostic error malpractice claims involved failures of clinical decision-making or judgment, regardless of the underlying disease present. Key process failures were errors in diagnostic assessment, test ordering, and test interpretation. Most often these were attributed to inadequate knowledge, skills, or reasoning, particularly in “atypical” or otherwise subtle case presentations. Limitations included use of malpractice claims and incident reports for distribution of diseases leading to serious harms, reliance on a small number of non-U.S. studies for overall (disease-agnostic) diagnostic error and harm rates, and methodologic variability across studies in measuring disease-specific rates, determining preventability, and assessing causal factors. Conclusions. Although estimated ED error rates are low (and comparable to those found in other clinical settings), the number of patients potentially impacted is large. Not all diagnostic errors or harms are preventable, but wide variability in diagnostic error rates across diseases, symptoms, and hospitals suggests improvement is possible. With 130 million U.S. ED visits, estimated rates for diagnostic error (5.7%), misdiagnosis-related harms (2.0%), and serious misdiagnosis-related harms (0.3%) could translate to more than 7 million errors, 2.5 million harms, and 350,000 patients suffering potentially preventable permanent disability or death. Over two-thirds of serious harms are attributable to just 15 diseases and linked to cognitive errors, particularly in cases with “atypical” manifestations. Scalable solutions to enhance bedside diagnostic processes are needed, and these should target the most commonly misdiagnosed clinical presentations of key diseases causing serious harms. New studies should confirm overall rates are representative of current U.S.-based ED practice and focus on identified evidence gaps (errors among common diseases with lower-severity harms, pediatric ED errors and harms, dynamic systems factors such as overcrowding, and false positives). Policy changes to consider based on this review include: (1) standardizing measurement and research results reporting to maximize comparability of measures of diagnostic error and misdiagnosis-related harms; (2) creating a National Diagnostic Performance Dashboard to track performance; and (3) using multiple policy levers (e.g., research funding, public accountability, payment reforms) to facilitate the rapid development and deployment of solutions to address this critically important patient safety concern.
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