000			02810nam a22004937a 4500
008			190108s20192019 xxu||||| |||| 00| 0 eng d
022			_a0196-0644
024			_a10.1016/j.annemergmed.2018.11.029 [doi]
024			_aS0196-0644(18)31479-3 [pii]
040			_aOvid MEDLINE(R)
099			_a30579619
245			_aAnother Look at the Persistent Moral Problem of Emergency Department Crowding. [Review]
251			_aAnnals of Emergency Medicine. 74(3):357-364, 2019 09.
252			_aAnn Emerg Med. 74(3):357-364, 2019 09.
252			_zAnn Emerg Med. 2018 Dec 19
253			_aAnnals of emergency medicine
260			_c2019
260			_fFY2020
265			_saheadofprint
265			_sppublish
266			_d2019-01-08
268			_aAnnals of Emergency Medicine. 2018 Dec 19
269			_fFY2019
501			_aAvailable online from MWHC library: 1994 - present, Available in print through MWHC library: 1997 - 2006
520			_aCopyright (c) 2018 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.
520			_aThis article revisits the persistent problem of crowding in US hospital emergency departments (EDs). It begins with a brief review of origins of this problem, terms used to refer to ED crowding, proposed definitions and measures of crowding, and causal factors. The article then summarizes recent studies that document adverse moral consequences of ED crowding, including poorer patient outcomes; increased medical errors; compromises in patient physical privacy, confidentiality, and communication; and provider moral distress. It describes several organizational strategies implemented to relieve crowding and implications of ED crowding for individual practitioners. The article concludes that ED crowding remains a morally significant problem and calls on emergency physicians, ED and hospital leaders, emergency medicine professional associations, and policymakers to collaborate on solutions.
546			_aEnglish
650			_a*Crowding
650			_a*Emergency Service, Hospital/st [Standards]
650			_aEmergency Medicine/st [Standards]
650			_aEmergency Service, Hospital/lj [Legislation & Jurisprudence]
650			_aEmergency Service, Hospital/td [Trends]
650			_aHumans
650			_aQuality of Health Care/st [Standards]
650			_aUnited States
651			_aMedStar Washington Hospital Center
656			_aEmergency Medicine
656			_aEthics
657			_aJournal Article
700			_aMcGrath, Norine
790			_aBookman K, Derse AR, Geiderman JM, Iserson KV, Marshall KD, McGrath N, McGreevy J, Moskop JC
856			_uhttps://dx.doi.org/10.1016/j.annemergmed.2018.11.029 _zhttps://dx.doi.org/10.1016/j.annemergmed.2018.11.029
942			_cART _dArticle
999			_c3955 _d3955