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研究生:柯露芭
研究生(外文):Luba Collins
論文名稱(外文):Emergency Room Overcrowding: Causes, Effects and Solutions
指導教授:陳子立陳子立引用關係
口試委員:陳銘芷呂奇傑
口試日期:2012-04-26
學位類別:碩士
校院名稱:輔仁大學
系所名稱:國際創業與經營管理學程碩士在職專班
學門:商業及管理學門
學類:企業管理學類
論文種類:學術論文
論文出版年:2012
畢業學年度:100
語文別:英文
論文頁數:37
外文關鍵詞:Emergency RoomCausesEffects
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Emergency Department overcrowding has evolved into a major issue over
the last 20 years. Even after all these years, experts are still attempting to find
better and efficient ways to predict and resolve this very issue. The first
research from which the research was extended discusses the most common
cause, effects and solutions that have been provided. To see if similar ideas still
exist in the more current literature, articles that dealt with these very concepts
were researched. The articles were obtained through the search engine of
Google Scholar and PubMed. Each article that mentioned or discussed causes,
effects, and or solutions was put through a restricted time frame from 2008-
2012. Articles that did not have this time frame apply to them were ones
dealing with the definition of overcrowding. In the search, the terms specified
were: “cause of emergency department crowding”, “emergency department
overcrowding”, “solutions for emergency department overcrowding”, “effects
of emergency department crowding”, and “definition of emergency department
overcrowding”. Out of these articles, 3 discussed causes, 6 discussed effects,
and 4 discussed solutions.
Chapter 1: Introduction………………………………………………………… 1
Chapter 2: Emergency Department Overcrowding………………………...... 3
2.1. Definition of ED Overcrowding ……………………………………. 6
Chapter 3: Causes, Effects and Solutions of ED Overcrowding……………. 11
3.1. Causes of ED Overcrowding…. …………………………………… 11
3.2. Effect of ED Overcrowding……………………………..…………. 13
3.3. Solutions for ED Overcrowding…..……………………………….. 20
Chapter 4: Conclusion……………………………………………………………30
References………………………………………………………………………... 32
1. Aronsky, D., and Hoot, R.N., “Systematic Review of Emergency
Department Crowding: Causes, Effects and Solutions”. Annals of
Emergency Medicine: Vol. 52, No. 2, pp.126-136, 2008.
2. Bookman, J.K., Geiderman, M.J., Moskop, C.J., Schears, M.R., and Sklar,
P.D., “Emergency Department Crowding, Part 1 –Concept, Causes, and
Moral Consequences”. Annals of Emergency Medicine: Vol. 53, No.5,
pp.605-611, 2009.
3. Bookman, J.K., Geiderman, M.J., Moskop, C.J., Schears, M.R., and
Sklar, P.D., “Emergency Department Crowding, Part 2 –Barriers to
Reform and Strategies to Overcome Them”. Annals of Emergency
Medicine: Vol. 53, No.5, pp.612-617, 2009.
4. DeFlitch, J.C., Sharoda, A.P., Reddy, C.M., “A Systematic Review of
Simulation Studies Investigating Emergency Department Overcrowding”.
The Society for Modeling and Simulation International Vol.86, Number
8-9, pp.559-571, 2010.
5. Forero, R., Hillman, K., and McCarthy, S. “Access Block and emergency
department overcrowding”. BioMed Central, pp.1-6, 2011.
6. Derlet, W.R., and Richards, R.J., “Ten Solutions for Emergency
Department Crowding”. Western Journal of Emergency Medicine: Vol.
IX, No.1, pp.24-27, 2008.
7. Anantharaman, V. “Impact of health care system interventions on
emergency department utilization and overcrowding in Singapore”.
International Journal of Emergency Medicine, pp.11-20, 2008.
8. Abrams, H., Caesar, M., Carter, W.M., Morra, D., and Wong, J.H.
“Understanding hospital and emergency department congestion: an
examination of inpatient admission trends and bed resources”. CJEM,
JCMU, pp.18-26, 2008.
9. Mah, R. “Emergency department overcrowding as a threat to patient
dignity”. Department of Emergency Medicine, pp.365-370, 2009.
10. Aronsky, D., Asplin, R.B., Bernstein, L.S., Duseja, R., Epstein, S.,
Handel, D., Hwang, U., McCarthy, M., McConnell, K.J., Pines, M.J.,
Rathlev, N., Schafermeyer, R., Schull, M., and Zwemer, F. “The Effect
of Emergency Department Crowding on Clinically Oriented Outcomes”.
Society for Academic Emergency Medicine, pp.1-9, 2008.
11. Johnson, K. and Winkelman, C. “The Effect of Emergency Department
Crowding on Patient Outcomes: A Literature Review”. Advanced
Emergency Nursing Journal: Vol. 33, No.1, pp.39-54, 2011.
12. Flores, R.C. “Emergency Department Crowding: A Call for Unity”.
Emergencias, pp.59-64, 2011.
13. Mountain, D. and Richardson, B.D. “Myths versus facts in emergency
department overcrowding and hospital access block”. MJA, Vol. 190,
No.7, pp.369-374, 2009.
14. Concato, J. and Hwang, U. “Care in the Emergency Department: How
Crowded is Overcrowded?” Academic Emergency Medicine, Vol.11,
No.10, pp.1097-1101, 2004.
15. Derlet, R., Kravitz, L.R., and Richards, R.J. “Frequent Overcrowding in
U.S. Emergency Departments”. Academic Emergency Medicine: Vol.8,
No. 2, pp.151-153, 2001.
16. Au, L., Bain, C.A., Brand, C., Byrnes, G.B., Campbell, D.A., Fackrell, A.
and Taylor, P.G. “Predicting overflow in an emergency department”.
Journal of Management Mathematics, pp.1-13, 2008.
17. Fite, D., Gentle, C., Halfpenny, M.J., Heins, A., Mehrotra, A., Mikhail,
G.M., and Wiler, L.J. “Optimizing Emergency Department Front-End
Operations”. Annals of Emergency Medicine: Vol. 55, No.2, pp.142-160,
2010.
18. Chan, T.B.B., Strenger, M., and Willoughby, A.K. “Achieving wait time
reduction in the emergency department”. Emerald Group Publishing
Limited: Vol.23, No.4, pp.304-319, 2010
19. Allred, R. “Emergency Department Overcrowding: Are free clinics the
answer we’ve been looking for?” University of California, San Diego,
pp.1-13, 2012.
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