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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/17705

Title: Causes and Effects of Emergency Departments Overcrowding
Authors: M Baddar, Fatma.
A Reda, Nagwa.
Keywords: Emergency departments, triage, crowding, causes of crowding , effect of crowding in EDs
Issue Date: 2006
Publisher: Alexandria Scientific Nursing Journal
Citation: Name of the journal : volume No (issue No); star page-end page
Abstract: Emergency departments (Eds) are responsible for dealing with a large number of patients who pass through them, and they do not restrict themselves to the treatment of specific medical specialties. This creates significant problems related to overcrowding, associated with extended waiting period, increasing acuity and delay in the initiation of needed emergency care. As a result, patient suffers from undue prolonged pain, inconvenience, frustration, and poor outcomes. Overcrowding is considered a situation in which demand for service exceeds the ability to provide care within a reasonable time, causing physicians and nurses to feel too rushed to provide quality care. The phenomenon of emergency departments (Eds) overcrowding cannot be attributed to any single factor, but instead appears to be a product of complex causal relations, encompassing multifactor, as direct consequence of these causes or factors EDs overcrowding has numerous negative effects on the quality of patient care, health care providers and ED environment. Objectives: this study was carried out to determine the causes, effects of (EDs) overcrowding as perceived by the health care providers and consumers, and propose the potential solutions to overcome (Eds) overcrowding. Methods: This study was conducted in the EDs at Alexandria University Hospitals namely Main University Hospital, El Chatby Maternity, and El Chatby Pediatrics Hospital. Subjects: the study sample included the EDs medical staff who are involved in providing direct patient’s care (N=13), all head nurses of EDs (N= 3), representative sample of nursing staff (N= 55) and representative sample of EDs conscious patients who are able to communicate (N=10). ED Overcrowding questionnaire was used to collect the study data. Results: the result of the current study revealed that the causes of ED Overcrowding are related to four main categories namely: Manpower, resources and facilities, patients, and work system. Poor clinical patient's outcome, increase level of stress and dissatisfaction among ED medical and nursing staff, outbreaks of infectious diseases, increasing violence and interpersonal miscommunication were stated by highest percentage of the subjects as a negative effects of ED overcrowding. Numerous solutions have been proposed to improve quality, efficiency of EDs and alleviate overcrowding effects. A statistical significant relation was observed between the causes, and effects of ED overcrowding, and between the effects and the potential solutions of ED Overcrowding.
URI: http://hdl.handle.net/123456789/17705
ISSN: Not applicable
Appears in Collections:College of Nursing

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