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Effects of Overcrowding Management on Patient Safety in the Emergency Department

This study examines the impact of overcrowding management on patient safety in the emergency department. A quasi-experimental study was conducted in a military hospital in Tehran, Iran, where patient safety perceptions were assessed before and after implementing an overcrowding management intervention. Results showed a significant improvement in patient safety perceptions after the intervention. This study emphasizes the importance of implementing overcrowding management protocols to enhance patient safety and care quality in the emergency department.

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Effects of Overcrowding Management on Patient Safety in the Emergency Department

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  1. The effects of overcrowding management on patient safety in the emergency department Personal Photo Iman Jafari Iraqi(1), Hosein Babatabar Darzi(*), Hosein Mahmoudi(1), Abbas Ebadi (1) 1 Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran * Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran Electronic Poster Code: A-10-556-1 Iman JafariIraqi Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran

  2. Introduction The emergency department is among the most crowded hospital units to which, many high-risk patients are admitted. The function of this department considerably affects the functions of other hospital units as well as patient satisfaction. Emergency department overcrowding can cause different negative consequences. This study aimed at determining the effects of overcrowding management on patient safety in the emergency department. Iman Jafari Iraqi Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran

  3. Method This quasi-experimental was made in 2015 in the emergency department of a teaching military hospital located in Tehran, Iran. Primarily, the perceived safety of 35 patients was assessed by using the Patient Satisfaction with Nursing Care Quality Questionnaire. Then, an overcrowding management intervention was implemented. Finally, the perceived safety of 35 newly-recruited patients was assessed after the intervention. The SPSS software (v. 19.0) was employed for data analysis. Iman Jafari Iraqi Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran

  4. Result There was a significant difference between the pretest and the posttest mean values of patients’ perceived safety. The rate of baseline patient safety was 65% which enhanced to 82% after the intervention (P < 0.001). Iman Jafari Iraqi Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran

  5. Conclusion The overcrowding management protocol can significantly enhance patients’ perceived safety. Therefore, this protocol can be used to lighten emergency department overcrowding and enhance patient safety and care quality. Iman Jafari Iraqi Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran

  6. References 1.Mehrabian F, Rahbar Taramsari M, Keshavars Mohamadian S. Quality of services in training and medical emergency centers. Journal of Guilan University of Medical Sciences. 2014;23(89):15-21. 2.Puraghaei M, Sadegh Tabrizi J, Aslan abadi S, Moharam zadeh P, Ghiami R, Elmdust N. Study of Risks in emergency department at Tabriz Imam Reza hospital. Medical Journal of Mashhad University of Medical Sciences. 2015;58(6):302-9. 3.Sun BC, Hsia RY, Weiss RE, Zingmond D, Liang L-J, Han W, et al. Effect of emergency department crowding on outcomes of admitted patients. Annals of emergency medicine. 2013;61(6):605-11 . 4.Mahler SA, McCartney JR, Swoboda TK, Yorek L, Arnold TC. The impact of emergency department overcrowding on resident education. The Journal of emergency medicine. 2012;42(1):69-73. 5.Mahmoudi H, Mohmmadi E, Ebadi A. Barriers to nursing care in emergency wards. Iranian journal of nursing and midwifery research. 2013;18(2):145. 6.Sohrabi A, Mahmoudi H, Salamezadeh Zavareh E, Siratinir M. Effect of Cardiopulmonary Resuscitation Training Based on Stabilizing Model on Depression, Anxiety and Stress of Intensive Care Unit Nurses. Education Strategies in Medical Sciences. 2014;7(2):83-8. 7.Mahmoudi H, Mohammadi E, Ebadi A. Experience of nurses from the emergency department management: A qualitative study. Journal of Critical Care Nursing. 2012;5(1):1-10. 8.Mohammadalizadeh A, Mahmoudi H, Khaghanizade M, Siratinir M. The effect of triage training on based on stabilization model on nurse's satisfaction in emergency ward: a clinical trial. Journal of Clinical Nursing and Midwifery. 2014;3(3):29-35. 9.Shamsi V, Mahmoudi H, Nir MS, Darzi HB. Effect of Job Specialization on the Hospital Stay and Job Satisfaction of ED Nurses. Trauma Monthly. 2016;21(1). 10.Negarandeh R, Pedram Razi S, Khosravinezhad M. Effect of Clinically Competent Nurses Services on Safety and Patients’ Satisfaction in an Emergency Department. Hayat. 2013;19(1):53-64. 11.Rosen MA, Goeschel CA, Che X-X, Fawole JO, Rees D, Curran R, et al. Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership. Simulation in Healthcare. 2015;10(6):372-7. 12.Verbakel NJ, Langelaan M, Verheij TJ, Wagner C, Zwart DL. Effects of patient safety culture interventions on incident reporting in general practice. British Journal of General Practice. 2015;65(634):319-29. 13.Patterson MD, Geis GL, LeMaster T, Wears RL. Impact of multidisciplinary simulation-based training on patient safety in a paediatric emergency department. BMJ quality & safety. 2013;22:383-93. 14.Boyle A, Beniuk K, Higginson I, Atkinson P. Emergency department crowding: time for interventions and policy evaluations. Emergency medicine international. 2012;20(12):1-8. 15.Gagnier JJ, Derosier JM, Maratt JD, Hake ME, Bagian JP. Development, implementation and evaluation of a patient handoff tool to improve safety in orthopaedic surgery. International Journal for Quality in Health Care. 2016;2:31. 16.Godlock G, Christiansen M, Feider L. Implementation of an Evidence-Based Patient Safety Team to Prevent Falls in Inpatient Medical Units. Medsurg nursing: official journal of the Academy of Medical-Surgical Nurses. 2016;25(1):17. 17.Jones F, Podila P, Powers C. Creating a culture of safety in the emergency department: the value of teamwork training. Journal of Nursing Administration. 2013;43(4):194-200. 18.Ebrahimpour F, Shahrokhi A, Ghodousi A. Patients’ Safety and Nurses’ Medication Administration Errors. SJFM. 2014;20(4):401-8. Iman Jafari Iraqi Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran

  7. Final Questions • What is already known about the subject? • Emergency department overcrowding can cause different negative consequences. • What could be added to the current knowledge by this study? • The overcrowding management intervention can reduce overcrowding and increase the safety in emergency departments and to provide scope for improving the quality of cares. Iman Jafari Iraqi Faculty of Nursing, Baqiyatallah University of Medical Sciences, Tehran, Iran

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