The Effect of Emergency Department Overcrowding on
Journal Title: Archives of Academic Emergency Medicine - Year 2015, Vol 3, Issue 4
Abstract
Introduction: Creating a calm and stress-free environment affects education significantly. The effects of the emergency department overcrowding (EDO) on the training of emergency medicine residents (EMR) is a highly debated subject. Therefore, this study aimed to evaluate the effect of EDO on efficiency of EMR’s education. Methods: In this cross-sectional study, the effects of overcrowding on EMR’s education in the resuscitation room and acute care unit. Data collection was done using a questionnaire, which was filled out by the second year EMRs. The crowding level was calculated based on the national emergency department overcrowding scale (NEDOCS). The relationship between the two studied variables was evaluated using independent sample t-test and SPSS 21 statistical software. Results: 130 questionnaires were filled out during 61 shifts. 47 (77.05%) shifts were overcrowded. The attend’s ability to teach was not affected by overcrowding in the resuscitation room (p=0.008). The similar results were seen regarding the attend’s training ability in the acute care unit. Conclusion: It seems that the emergency department overcrowding has no effect on the quality of education to the EMRs.
Familiarity of Physicians and Nurses with Different Aspects of Oxygen Therapy; a Brief Report
Introduction: Oxygen is a drug and physician and nurses should be familiar with the effects and potential risks of oxygen therapy. The current study aimed to assess familiarity of physicians and nurses with various aspec...
Protocol Adherence for Severe Sepsis and Septic Shock Management in the Emergency Department; a Clinical Audit
Introduction: Although significant development in the field of medicine is achieved, sepsis is still a major issue threatening humans’ lives. This study was aimed to audit the management of severe sepsis and septic shock...
Development of an Easy-to-Use Tool for the Assessment of Emergency Department Physical Design
Physical design of the emergency department (ED) has an important effect on its role and function. To date, no guide-lines have been introduced to set the standards for the construction of EDs in Iran. In this study, we...
Diagnostic Accuracy of Ultrasonography and Radiography in Initial Evaluation of Chest Trauma Patients
Introduction: Application of chest radiography for all multiple trauma patients is associated with a significant increase in total costs, exposure to radiation, and overcrowding of the emergency department. Ultrasound ha...
Ventilator-Associated Pneumonia and Its Responsible Germs; an Epidemiological Study
Introduction: Ventilator-associated pneumonia (VAP) is one of the most common hospital infections and a side effect of lengthy stay in intensive care unit (ICU). Considering the ever-changing pattern of common pathogens...