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Another Look at the Persistent Moral Problem of Emergency Department Crowding. [Review]

MedStar author(s):

Citation: Annals of Emergency Medicine. 74(3):357-364, 2019 09.PMID: 30579619Institution: MedStar Washington Hospital CenterDepartment: Emergency Medicine | EthicsForm of publication: Journal ArticleMedline article type(s): Journal ArticleSubject headings: *Crowding | *Emergency Service, Hospital/st [Standards] | Emergency Medicine/st [Standards] | Emergency Service, Hospital/lj [Legislation & Jurisprudence] | Emergency Service, Hospital/td [Trends] | Humans | Quality of Health Care/st [Standards] | United StatesYear: 2019 Local holdings: Available online from MWHC library: 1994 - present, Available in print through MWHC library: 1997 - 2006ISSN:

0196-0644

Name of journal: Annals of emergency medicineAbstract: Copyright (c) 2018 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved.This 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.All authors: Bookman K, Derse AR, Geiderman JM, Iserson KV, Marshall KD, McGrath N, McGreevy J, Moskop JCOriginally published: Annals of Emergency Medicine. 2018 Dec 19Fiscal year: FY2020Fiscal year of original publication: FY2019Digital Object Identifier:

https://dx.doi.org/10.1016/j.annemergmed.2018.11.029

Date added to catalog: 2019-01-08

Holdings ( 1 )
Title notes ( 4 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	30579619	Available		30579619

Available online from MWHC library: 1994 - present, Available in print through MWHC library: 1997 - 2006

This 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.

English