Evaluation of physician in triage impact on overcrowding in emergency department using discrete-event simulation
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1,329 citations
"Evaluation of physician in triage i..." refers background in this paper
...Multiple solutions to alleviate ED overcrowding have been studied in literature including the demand management in non-urgent patient referrals, ambulance diversion and destination control, additional resources either physical or human, and operations research to provide business intelligence for the patient flow optimization (Hoot and Aronsky, 2008)....
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...…studied in literature including the demand management in non-urgent patient referrals, ambulance diversion and destination control, additional resources either physical or human, and operations research to provide business intelligence for the patient flow optimization (Hoot and Aronsky, 2008)....
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...A comprehensive review concluded that common effects of ED overcrowding include the patient mortality, transport delays, treatment delays, ambulance diversion, patient elopement, and financial effect (Hoot & Aronsky, 2008; Higginson, 2012)....
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790 citations
"Evaluation of physician in triage i..." refers background in this paper
...Although factors causing overcrowding penetrate in almost every level of an ED system, the mismatch between the supply and demand devotes its major contribution to this issue (Asplin et al., 2003)....
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575 citations
"Evaluation of physician in triage i..." refers background in this paper
..., 2007), associated with a great risk in patient safety and mortality (Guttmann et al., 2011; Carter et al., 2014)....
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...A national level survey conducted by the Canadian Agency for Drugs and Technology in Health reported that 62% of ED directors regarded overcrowding as a severe problem (Bond et al., 2007), associated with a great risk in patient safety and mortality (Guttmann et al., 2011; Carter et al., 2014)....
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...The adverse effects of prolonged wait times include the patient dissatisfaction and safety concerns (Bond et al., 2007; Guttmann et al., 2011; Carter et al., 2014)....
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505 citations
344 citations
"Evaluation of physician in triage i..." refers background in this paper
...Typically, these front-end operations include the initial patient presentation, registration, triage, bed placement, and medical evaluation although they may vary in different EDs as uncertain factors (Wiler et al., 2010)....
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...There are multiple interventions for potential solutions to improve the ED patient flow (Oredsson et al., 2011; Wiler et al., 2010)....
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...These strategies include using immediate bedding, bedside registration, tracking systems and whiteboards, wireless communication device, kiosk self-check-in and personal health record technology (Wiler et al., 2010; Kaushal et al., 2015)....
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...Patients would have to wait in a queue because of their non-succession occurring (Wiler et al., 2010)....
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