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The 'who are all these people?' study
Peadar Gilligan1, Danny Joseph2, Matthew Bartlett2
1Emergency Department, Beaumont Hospital, Dublin, Ireland.
Emergency Medicine Journal : EMJ
|October 15, 2013
Summary
Emergency department overcrowding is a major issue, with most patients boarded awaiting beds. Understanding who occupies the department, including patients and visitors, is key to implementing effective crowd reduction strategies.
Area of Science:
- Emergency Medicine
- Healthcare Management
Background:
- Emergency department (ED) overcrowding negatively impacts care delivery and increases patient mortality.
- The study ED is consistently among the most overcrowded in Ireland.
Purpose of the Study:
- To identify contributors to ED crowding.
- To specifically analyze the patient-associated population within the ED.
Main Methods:
- Observational study in a consistently overcrowded Irish ED.
- Analysis of patient and staff demographics within the ED during the study period.
Main Results:
- An average of 66.7% of ED occupants were patients awaiting hospital beds.
- The majors area was the most crowded, with patients comprising 55.5% of occupants.
- Visitors, nursing staff, on-call teams, and ED doctors constituted significant portions of the remaining occupants.
Conclusions:
- Identifying the composition of ED occupants informs management decisions for crowd reduction.
- Implementation of a strict visitor policy, limiting numbers and duration, is a strategy to mitigate ED crowding.
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