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• W2094733335 abstract "Emergency department overcrowding in the United States has been problematic for the past decade. 1 Derlet RW Overcrowding in emergency departments: increased demand and decreased capacity. Ann Emerg Med. 2002; 39: 430-432 Abstract Full Text Full Text PDF PubMed Scopus (175) Google Scholar , 2 Richardson LD Asplin BR Lowe RA Emergency department crowding as health policy issue: past development, future directions. Ann Emerg Med. 2002; 40: 388-393 Abstract Full Text Full Text PDF PubMed Google Scholar , 3 Weiss SJ Derlet RW Arndhal J et al. Estimating the degree of emergency department overcrowding in academic medical centers: results of the National ED Overcrowding Study (NEDOCS). Acad Emerg Med. 2004; 11: 38-50 Crossref PubMed Scopus (245) Google Scholar Multiple factors associated with overcrowding generally fall into 3 categories: patient factors, departmental factors, and hospital and community factors. 4 McCabe JC Emergency department overcrowding: a national crisis. Acad Med. 2001; 76: 672-674 Crossref PubMed Scopus (64) Google Scholar , 5 Isaacman DJ Poirier MP ED overcrowding-meeting many needs. Pediatr Emerg Care. 2004; 20: 710-716 Crossref PubMed Scopus (2) Google Scholar The number and acuity of patients seeking care have increased whereas the availability of ED beds has decreased throughout the United States. 6 Velianoff GD Overcrowding and diversion in the emergency department: the healthcare safety net unravels. Nurs Clin North Am. 2002; 37: 59-66 Abstract Full Text Full Text PDF PubMed Scopus (21) Google Scholar Some emergency departments have inadequate space and staff to handle the influx of patients, and more patients are being boarded in the emergency department while awaiting inpatient beds. Community factors such as high numbers of underinsured persons and lack of access to primary care services also affect ED overcrowding. 6 Velianoff GD Overcrowding and diversion in the emergency department: the healthcare safety net unravels. Nurs Clin North Am. 2002; 37: 59-66 Abstract Full Text Full Text PDF PubMed Scopus (21) Google Scholar Kathleen Nash is Associate Professor, School of Nursing, University of Texas Medical Branch, Galveston, TX. Hoang Nguyen is Senior Biostatistician and Assistant Professor, School of Nursing, University of Texas Medical Branch, Galveston, TX. Melinda Tillman, Member, ENA Chapter 435, is Systems Analyst IV, Emergency Services, University of Texas Medical Branch, Galveston, TX. Screening Out Does Little to Address ED OvercrowdingJournal of Emergency NursingVol. 35Issue 4PreviewI agree with the authors that ED overcrowding is a major barrier to providing high-quality emergency care services.1 Overcrowding also contributes to the increasing number of ED patients who leave without being seen, and the sooner these problems are addressed, the better. Full-Text PDF" @default.
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• W2094733335 date "2009-03-01" @default.
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• W2094733335 title "Using Medical Screening Examinations to Reduce Emergency Department Overcrowding" @default.
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• W2094733335 doi "https://doi.org/10.1016/j.jen.2008.02.016" @default.
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