紧急部门拥挤在现代时代:一个系统审查 (2018-2025)
Jonathan J Oskvarek1,2, Andrew Leubitz3, Nishad Rahman4
1US Acute Care Solutions, Canton, OH.
Clinical and experimental emergency medicine
|January 19, 2026
概括
紧急服务部门 (ED) 的拥挤源于患者数量,人员问题和住院问题. 有效的解决方案需要全系统协调,尽管高质量的证据有限.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 应急部门 (ED) 拥挤是一个复杂的全球性挑战.
- 由于COVID-19的流行,现有的问题加剧了,并引入了新的问题.
- 了解ED拥挤的多方面的原因和后果对于有效的干预至关重要.
研究的目的:
- 系统地审查急诊室拥挤的原因,影响和干预措施.
- 分析由COVID-19大流行放大了挑战.
- 确定有效的策略来缓解ED拥挤.
主要方法:
- 按照PRISMA指南进行系统审查.
- 搜索了MEDLINE,CINAHL和科学网络 (2018年1月至2025年1月).
- 包括评估拥挤原因,后果或干预措施的研究;使用SIGN工具评估质量.
主要成果:
- 226项研究符合纳入标准;大多数是追溯的,质量低至可接受的.
- 关键的驱动因素包括高患者数量,有限的初级保健服务,人员短缺和住院住院.
- 副作用包括增加的死亡率,治疗延迟和降低患者满意度;像提供者入选和分流模型这样的干预措施是有前途的.
结论:
- ED拥挤是一个持久的问题,具有显著的临床和运营影响.
- 虽然存在干预措施,但高质量的证据有限.
- 系统层面的,多方面的解决方案是必要的,以有效地解决ED拥挤.
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