Emergency Department and Overcrowding During COVID-19 Outbreak; a Letter to Editor
学术急诊医学档案,
卷 9 编号 1 (2021),
1 一月 2021
,
第 e28 页
https://doi.org/10.22037/aaem.v9i1.1167
摘要
Dear editor;
Emergency Physicians (EPs) work under extreme stress conditions (1). Overcrowding – defined as hospital beds not being available for several patients who need one – has been a significant public health problem for more than a decade and is the consequence of the increase in health care demand and the decrease in bed spaces and number of staff (2). These parameters increase stress at work, which leads EPs to experience significant stress consequences, a feeling of diminished skills, and loss of time control (3). Many studies are interested in the overcrowding problem, like a recent study by Tangkulpanich et al. who found the predictive factors of revisiting in 48 hours (4).
- Emergency Department
- Overcrowding
- COVID-19
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参考
Dutheil F, Boudet G, Perrier C, Lac G, Ouchchane L, Chamoux A, et al. JOBSTRESS study: comparison of heart rate variability in emergency physicians working a 24-hour shift or a 14-hour night shift—a randomized trial. Int J Cardiol. 2012;158(2):322-5.
Di Somma S, Paladino L, Vaughan L, Lalle I, Magrini L, Magnanti M. Overcrowding in emergency department: an international issue. Internal and emergency medicine. 2015;10(2):171-5.
Lindeberg SI, Rosvall M, Choi B, Canivet C, Isacsson S-O, Karasek R, et al. Psychosocial working conditions and exhaustion in a working population sample of Swedish middle-aged men and women. European journal of public health. 2011;21(2):190-6.
Tangkulpanich P, Yuksen C, Kongchok W, Jenpanitpong C. Clinical Predictors of Emergency Department Revisits within 48 Hours of Discharge; a Case Control Study. Archives of Academic Emergency Medicine. 2021;9(1).
Bouillon-Minois J-B, Schmidt J, Dutheil F. SARS-CoV-2 pandemic and emergency medicine: The worst is yet to come. The American Journal of Emergency Medicine. 2020.
Singer AJ, Thode Jr HC, Viccellio P, Pines JM. The association between length of emergency department boarding and mortality. Academic Emergency Medicine. 2011;18(12):1324-9.
Freund Y, Goulet H, Leblanc J, Bokobza J, Ray P, Maignan M, et al. Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. JAMA internal medicine. 2018;178(6):812-9.
Heath I. Role of fear in overdiagnosis and overtreatment—an essay by Iona Heath. Bmj. 2014;349.
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