The role of a rapid assessment zone/pod on reducing overcrowding in emergency departments: A systematic review

Emergency Medicine Journal

Volumn 29, Issue 5, 2012, Pages 372-378

  Bullard, Michael J ^a   Villa Roel, Cristina ^a,b   Guo, Xiaoyan ^a   Holroyd, Brian R ^a   Innes, Grant ^c   Schull, Michael J ^d   Vandermeer, Benjamin ^b   Ospina, Maria ^b,e   Rowe, Brian H ^a,b  

^a UNIVERSITY OF ALBERTA   (Canada)

^b UNIVERSITY OF ALBERTA   (Canada)

^c UNIVERSITY OF CALGARY   (Canada)

^d UNIVERSITY OF TORONTO   (Canada)

^e INSTITUTE OF HEALTH ECONOMICS   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CLINICAL ASSESSMENT; CROWDING; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; HUMAN; LENGTH OF STAY; PATIENT ASSESSMENT; PHYSICIAN; PRIORITY JOURNAL; RAPID ASSESSMENT ZONE; REFERENCE DATABASE; SYSTEMATIC REVIEW;

CROWDING; EMERGENCY SERVICE, HOSPITAL; HUMANS; LENGTH OF STAY; REFERRAL AND CONSULTATION; TIME FACTORS; TRIAGE;

EID: 84860217812     PISSN: 14720205     EISSN: 14720213     Source Type: Journal    
DOI: 10.1136/emj.2010.103598     Document Type: Article

References (22)

1. Canadian Association of Emergency Physicians and the National Emergency Nurses Association. Joint position statement: access to acute care in the setting of emergency department overcrowding. CJEM 2003;3:82-4.
2. Derlet RW, Richards JR. Overcrowding in the nation's emergency departments: complex causes and disturbing effects. Ann Emerg Med 2000;35:63-8. (Pubitemid 30659729)
3. Cowan RM, Trzeciak S. Clinical review: emergency department overcrowding and the potential impact on the critically ill. Critical Care 2005;9:291-5. (Pubitemid 40796807)
4. Trzeciak S, Rivers EP. Emergency department overcrowding in the United States: an emerging threat to patient safety and public health. Emerg Med J 2003;20:402-5. (Pubitemid 37168210)
5. Asplin BR, Magid DJ, Rhodes KV, et al. A conceptual model of emergency department crowding. Ann Emerg Med 2003;42:173-80. (Pubitemid 36899784)
6. Fatovich DM. Emergency medicine. BMJ 2002;324:958-62.
7. Ardagh MW, Wells JE, Cooper K, et al. Effect of a rapid assessment clinic on the waiting time to be seen by a doctor and the time spent in the department, for patients presenting to an urban emergency department: a controlled prospective trial. N Z Med J 2002;115:U28.
8. Bond K, Ospina M, Blitz S, et al. Interventions To Reduce Overcrowding In Emergency Departments (Technology Report No 67.4). Ottawa: Canadian Agency for Drugs and Technologies in Health, 2006.
9. Thomas BH, Ciliska D, Dobbins M, et al. A process for systematically reviewing the literature: providing the research evidence for public health nursing interventions. Worldviews on Evidence-Based Nursing 2004;1:176-84.
10. Mulrow CD, Oxman AD, eds. Cochrane Collaboration Handbook [updated September 1997]. In: The Cochrane Library [database on disk and CD ROM]. The Cochrane Collaboration. Oxford: Update Software; 1994, issue 4.
11. Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Controlled Clin Trials 1996;17:1-12. (Pubitemid 26120810)
12. Deeks JJ, Dinnes J, D'Amico R, et al. Evaluating non-randomised intervention studies. Health Technol Assess 2003;7:iiiex, 1-173.
13. Bullard M, Lo A, Latoszek K, et al. Impact of a rapid-assessment pod on ED overcrowding measures: a randomized trial. Acad Emerg Med 2008;15 (5 Suppl 1):S197.
14. Penciner R, Ennis A, Paraghamian G, et al. Improving care of subacute patients in the emergency department: the Kaizen approach. CJEM 2008;10:275.
15. Bond PA. A staffed ED assessment room: impact on wait times for nonurgent patients at a Saudi Arabian hospital. J Emerg Nurs 2001;27:394-5. (Pubitemid 33077551)
16. Kunz R, Oxman AD. The unpredictability paradox: review of empirical comparisons of randomised and non-randomised clinical trials. BMJ 1998;317:1185-90. (Pubitemid 28488507)
17. Ioannidis JP, Haidich AB, Pappa M, et al. Comparison of evidence of treatment effects in randomized and nonrandomized studies. JAMA 2001;286:821-30. (Pubitemid 33015576)
18. Leaver CA, Guttmann A, Zwarenstein M, et al. Development of a minimization instrument for allocation of a hospital-level performance improvement intervention to reduce waiting times in Ontario emergency departments. Implement Sci 2009;4:32.
19. Wiebe N, Vandermeer B, Platt RW, et al. A systematic review identifies a lack of standardization in methods for handling missing variance data. J Clin Epidemiol 2006;59:342-53.
20. Daya S. Funnel plots and publication bias-work in progress? Evidence-based Obstet Gynecol 2006;8:71-2. (Pubitemid 44734492)
21. Ospina MB, Kelly K, Klassen TP, et al. Publication bias of randomized controlled trials in emergency medicine. Acad Emerg Med 2006;13:102-8. (Pubitemid 41827301)
22. Ospina MB, Bond K, Schull M, et al. Key indicators of overcrowding in Canadian emergency departments: a delphi study. CJEM 2007;9:339-46. (Pubitemid 350302888)