The Association Between Crowding and Mortality in Admitted Pediatric Patients From Mixed Adult-Pediatric Emergency Departments in Korea

Abstract

The ED crowding was associated with increased hazard for hospital mortality for pediatric patients in mixed EDs.

The impact of prolonged boarding of successfully resuscitated out-of-hospital cardiac arrest patients on survival-to-discharge rates

“…This result is consistent with those of previous studies that showed increased mortality rates related to ED overcrowding. [20][21][22] Our sensitivity analysis shows that the effect of prolonged boarding was constantly significant throughout 1-36 h after ROSC onset. This may imply the importance of admitting critical patients without any designated time limit, such as the 6-h rule, in which the cut-off of 6 h has been commonly used.…”

Providing Care in Emergency Department Hallways: Demands, Dangers, and Deaths

“…This is especially true in nonuniversity hospitals, where academic freedom is not guaranteed. Delays resulting from ED hallway care leading to patient death have been reported [25][26][27][28][29][30][31][32]. The lay press periodically publishes anecdotes of deaths that occur in ED areas not designated for actual patient care [48,49].…”

“…Medical malpractice actions have occurred as a result of patients receiving care in hallways [9]. There are several studies on the outcome of boarding admitted inpatients in EDs [25][26][27][28][29][30][31][32]. While ED boarding is not synonymous with hallway care, boarded patients in many hospitals spend a significant portion of their total time residing in hallways.…”

Children are not young adults: a call for standardized guidelines for dealing with pediatric patients in the emergency department of Canadian community hospitals

“…17 Environmental constraints can have potentially adverse outcomes, as highlighted in a Korean study, which showed a correlation between overcrowding in cEDs and increased mortality. 18 …”