Prevalence of crowding, boarding and staffing levels in Swedish emergency departments-a National Cross Sectional Study

被引:11
|
作者
Wretborn, Jens [1 ,2 ]
Henricson, Joakim [1 ,3 ]
Ekelund, Ulf [2 ]
Wilhelms, Daniel B. [1 ,3 ]
机构
[1] Local Hlth Care Serv Cent Ostergotland, Dept Emergency Med, Linkoping, Sweden
[2] Lund Univ, Fac Med, Dept Clin Sci Lund, Emergency Med, Linkoping, Sweden
[3] Linkoping Univ, Dept Biomed & Clin Sci, S-58185 Linkoping, Sweden
关键词
Emergency department; Crowding; Boarding; OUTCOMES; CARE;
D O I
10.1186/s12873-020-00342-x
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background Emergency Department (ED) crowding occurs when demand for care exceeds the available resources. Crowding has been associated with decreased quality of care and increased mortality, but the prevalence on a national level is unknown in most countries. Method We performed a national, cross-sectional study on staffing levels, staff workload, occupancy rate and patients waiting for an in-hospital bed (boarding) at five time points during 24 h in Swedish EDs. Results Complete data were collected from 37 (51% of all) EDs in Sweden. High occupancy rate indicated crowding at 12 hospitals (37.5%) at 31 out of 170 (18.2%) time points. Mean workload (measured on a scale from 1, no workload to 6, very high workload) was moderate at 2.65 (+/- 1.25). Boarding was more prevalent in academic EDs than rural EDs (median 3 vs 0). There were an average of 2.6, 4.6 and 3.2 patients per registered nurse, enrolled nurse and physician, respectively. Conclusion ED crowding based on occupancy rate was prevalent on a national level in Sweden and comparable with international data. Staff workload, boarding and patient to staff ratios were generally lower than previously described.
引用
收藏
页数:8
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