https://scholars.lib.ntu.edu.tw/handle/123456789/541289
標題: | ED overcrowding in Taiwan: Facts and strategies | 作者: | FUH-YUAN SHIH MATTHEW HUEI-MING MA SHYR-CHYR CHEN HSIU-PO WANG CHENG-CHUNG FANG Shyu R.-S. GUAN-TARN HUANG Wang S.-M. |
公開日期: | 1999 | 出版社: | W.B. Saunders | 卷: | 17 | 期: | 2 | 起(迄)頁: | 198-202 | 來源出版物: | American Journal of Emergency Medicine | 摘要: | The objective of this study was to quantity the extent of emergency department (ED) overcrowding in Taiwan and to identify possible solutions. The ED log was reviewed for all patients who presented to the National Taiwan University Hospital's ED from January 16, 1996 through February 15, 1996. Charts from patients held longer than 72 hours were reviewed. Among 5,810 patients, 213 (3.6%) were held in the ED for more than 72 hours (7.1 patients per day). In 149 (70.0%) of them, admission was indicated but delayed (42 because more than one subspecialty were involved, 57 because of unavailability of bed, and 50 because of the disparity in admission priority between the emergency physicians and house staffs). Eighteen (8.4%) patients did not meet admission criteria (13 could have been treated in outpatient clinics, 3 needed placement in nursing homes, 2 because of personal problems). The others (22%) recovered while waiting. Significant overcrowding exists in EDs in Taiwan. Four solutions are proposed: (1) creation of a holding unit; (2) flexible ward assignment; (3) pre-established rules for admission priority-setting; and (4) active interfacility transfer. Only through these efforts can EDs in Taiwan guarantee an optimal level of care in the face of a growing patient demand. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0033031495&doi=10.1016%2fS0735-6757%2899%2990061-X&partnerID=40&md5=7e48b62b24dd90077534fdb97e70de4a https://scholars.lib.ntu.edu.tw/handle/123456789/541289 |
ISSN: | 0735-6757 | DOI: | 10.1016/S0735-6757(99)90061-X | SDG/關鍵字: | article; crowding; emergency medicine; emergency ward; health care planning; hospital admission; hospital planning; hospitalization; human; length of stay; medical service; priority journal; Taiwan |
顯示於: | 醫學系 |
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