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Review Article

Addressing Overcrowding in Emergency Departments: Causes, Impacts, and Management Strategies: A Comprehensive Review

Penagaluru Pranay Krishna, Shehnaz Sultana

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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

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Indian Journal of Emergency Medicine 10 (4):p 211-223, October - December 2024. | DOI: https://doi.org/10.21088/ijem.2395.311X.10424.3

How Cite This Article:

Krishna PP, Sultana S. Addressing overcrowding in emergency departments: causes, impacts, and management strategies: a comprehensive review. Ind J Emerg Med. 2024;10(4):211-23.

Timeline

Received : December 18, 2023         Accepted : February 14, 2024          Published : December 15, 2024

Abstract

Overcrowding in Emergency Departments (EDs) is a pressing global healthcare issue that negatively impacts patient care, staff well-being, and overall healthcare system efficiency. This review explores the complex problem of ED overcrowding, examining its causes, consequences, and potential solutions. Key factors contributing to overcrowding include increased demand for emergency services, inadequate inpatient bed availability, inefficient patient flow, and limited resources and staffing. The consequences of overcrowding are severe, encompassing increased patient morbidity and mortality, prolonged wait times, higher healthcare costs, and heightened provider stress. The review synthesizes findings from systematic reviews and key studies, highlighting the detrimental effects of overcrowding on patient outcomes and the economic implications for healthcare facilities. It also discusses potential strategies to alleviate the problem, including improving patient flow, expanding access to primary care, utilizing observation units, and implementing policy interventions. By adopting a multifaceted approach, healthcare systems can improve the quality of emergency care, reduce patient harm, and enhance the working conditions for providers. This review underscores the need for a systemic strategy to address ED overcrowding effectively and ensure timely, high-quality care for all patients.


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Data Sharing Statement

There are no additional data available.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Acknowledgements

Information no provided.

Conflicts of Interest

The authors report no conflicts of interest in this work.


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Cite this article

Krishna PP, Sultana S. Addressing overcrowding in emergency departments: causes, impacts, and management strategies: a comprehensive review. Ind J Emerg Med. 2024;10(4):211-23.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

 This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Received Accepted Published
December 18, 2023 February 14, 2024 December 15, 2024

DOI: https://doi.org/10.21088/ijem.2395.311X.10424.3

Keywords

OvercrowdingEmergency DepartmentPrimary careInsufficient staffTriage

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Received December 18, 2023
Accepted February 14, 2024
Published December 15, 2024

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Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

 This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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