How Does Emergency Department Crowding, as Measured by National Emergency Department Overcrowding Scale, Affect Medical Student Test Score and Clerkship Evaluation?

Objective. The boarding of patients in Emergency Department (ED) hallways when no inpatient beds are available is a major cause of ED crowding. One solution is to board admitted patients in an inpatient rather than ED hallway. We surveyed patients to determine their preference and correlated their responses to real-time National Emergency Department Overcrowding Score (NEDOCS).Methods. This was a survey of admitted patients in the ED of an urban university level I trauma center serving a community of 5 million about their personal preferences regarding boarding. Real-time NEDOCS was calculated at the time each survey was conducted.Results. 99 total surveys were completed during October 2010, 42 (42%) patients preferred to be boarded in an inpatient hallway, 33 (33%) preferred the ED hallway, and 24 (24%) had no preference. Mean (±SD) NEDOCS (range 0–200) was for patients preferring inpatient boarding, for ED boarding, and without preference. Male patients preferred inpatient hallway boarding significantly more than females. Preference for inpatient boarding was associated with a significantly higher NEDOCS.Conclusions. In this survey study, patients prefer inpatient hallway boarding when the hospital is at or above capacity. Males prefer inpatient hallway boarding more than females. The preference for inpatient hallway boarding increases as the ED becomes more crowded.

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27 Patients Prefer Boarding in Inpatient Hallways: Correlation With the National Emergency Department Overcrowding Score (NEDOCS)

Annals of Emergency Medicine ◽

10.1016/j.annemergmed.2011.06.052 ◽

2011 ◽

Vol 58 (4) ◽

pp. S187

Author(s):

J. Richards ◽

R. Derlet ◽

M. Notash ◽

P. Sokolove ◽

G. Ozery ◽

...

Keyword(s):

Emergency Department ◽

Emergency Department Overcrowding ◽

National Emergency

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STRATEGI UNTUK MENGATASI KEPADATAN UNIT GAWAT DARURAT (UGD): TINJAUAN PUSTAKA

Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing) ◽

10.33023/jikep.v7i1.683 ◽

2021 ◽

Vol 7 (1) ◽

pp. 41-50

Author(s):

Rosmini Rasimin ◽

Yuliana Syam ◽

Rosyidah Arafat ◽

Sintawati Majid

Keyword(s):

Emergency Department ◽

Literature Review ◽

Google Scholar ◽

Electronic Database ◽

Emergency Department Overcrowding ◽

National Emergency

Latar Belakang: Unit gawat darurat (ED) sebagai pintu gerbang penanganan awal pasien dengan kegawatdarutatan berisiko mengalami Kepadatan. Tujuan literature review ini adalah untuk mencari strategi yang tepat untuk mengatasi kepadatan di ED. Metode yang digunakan yaitu pencarian pada electronic database seperti Pubmed, DOAJ, dan google scholar, menggunakan kata kunci Crowding AND Emergency Department, awal ditemukan 1160 artikel,15 artikel dimasukkan setelah melalui proses screening. Hasil review menyajikan penyebab kepadatan di ED, alat ukur, efek yang ditimbulkan, dan srategi penaganan kepadatan di ED. Kesimpulan, lama tinggal dan keterlambatan pemeriksaan penunjang mempengaruhi kepadatan, system informasi serta pengelompokan pasien dapat menurunkan kepadatan, National Emergency Department Overcrowding Scale (NEDOCS) direkomendasikan untuk mengukur skala kepadatan di ED.

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