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Báo cáo y học: " Access block and emergency department overcrowding"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Access block and emergency department overcrowding. | Forero et al. Critical Care 2011 15 216 http ccforum.eom content 15 2 216 CRITICAL CARE REVIEW L_ Access block and emergency department overcrowding Roberto Forero1 Sally McCarthy2 Ken Hillman1 This article is one of eleven reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2011 Springer Verlag and co-published as a series in Critical Care. Other articles in the series can be found online at http ccforum.com series annual. Further information about the Annual Update in Intensive Care and Emergency Medicine is available from http www.springer.com series 8901 Introduction Access block affecting the emergency department ED also known as boarding in the United States and Canada can be described as a phenomenon comprising almost all the challenges in the world of modern EDs. We use the analogy of parallel universes to illustrate both the complexity and the severity of the problem. In the world of physics many attempts have been made to create a mathematical solution that can answer the more basic questions about physical phenomena in the universe. This has been known as Theory of Everything. Albert Einstein spent 30 years of his life trying to solve this Theory of Everything but failed 1 . In the parallel universe of emergency medicine access block or delays in admission of patients to hospital inpatient areas from EDs can be described as a whole system problem the equivalent to the Theory of Everything . It remains a fundamental challenge prompting comments such as Access Block and ED overcrowding have created a dynamic tension and the future of emergency medicine will be determined by the resolution of this conflict 2 . Despite access block and overcrowding in EDs being redefined investigated and managed in multiple ways it is far from being resolved 3 4 . This chapter summarizes the evidence from access block studies exploring hospital patient or medical interventions to reduce the impact of access block in terms of ambulance .