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Interventions in overcrowding of emergency departments: an overview of systematic reviews
Bittencourt, Roberto José; Stevanato, Angelo de Medeiros; Bragança, Carolina Thomé N. M; Gottems, Leila Bernarda Donato; ODwyer, Gisele.
  • Bittencourt, Roberto José; Secretaria de Estado de Saúde do Distrito Federal. Fundação de Ensino e Pesquisa em Ciências da Saúde. Escola Superior de Ciências da Saúde. Distrito Federal. BR
  • Stevanato, Angelo de Medeiros; Secretaria de Estado de Saúde do Distrito Federal. Fundação de Ensino e Pesquisa em Ciências da Saúde. Escola Superior de Ciências da Saúde. Distrito Federal. BR
  • Bragança, Carolina Thomé N. M; Secretaria de Estado de Saúde do Distrito Federal. Fundação de Ensino e Pesquisa em Ciências da Saúde. Escola Superior de Ciências da Saúde. Distrito Federal. BR
  • Gottems, Leila Bernarda Donato; Secretaria de Estado de Saúde do Distrito Federal. Fundação de Ensino e Pesquisa em Ciências da Saúde. Escola Superior de Ciências da Saúde. Distrito Federal. BR
  • ODwyer, Gisele; Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Departamento de Administração e Planejamento em Saúde. Rio de Janeiro. BR
Rev. saúde pública (Online) ; 54: 66, 2020. tab, graf
Article in English | BBO, LILACS | ID: biblio-1127247
ABSTRACT
ABSTRACT OBJECTIVE To present an overview of systematic reviews on throughput interventions to solve the overcrowding of emergency departments. METHODS Electronic searches for reviews published between 2007 and 2018 were made on PubMed, Cochrane Library, EMBASE, Health Systems Evidence, CINAHL, SciELO, LILACS, Google Scholar and the CAPES periodicals portal. Data of the included studies was extracted into a pre-formatted sheet and their methodological quality was assessed using AMSTAR 2 tool. Eventually, 15 systematic reviews were included for the narrative synthesis. RESULTS The interventions were grouped into four categories (1) strengthening of the triage service; (2) strengthening of the ED's team; (3) creation of new care zones; (4) change in ED's work processes. All studies observed positive effect on patient's length of stay, expect for one, which had positive effect on other indicators. According to AMSTAR 2 criteria, eight revisions were considered of high or moderate methodological quality and seven, low or critically low quality. There was a clear improvement in the quality of the studies, with an improvement in focus and methodology after two decades of systematic studies on the subject. CONCLUSIONS Despite some limitations, the evidence presented on this overview can be considered the cutting edge of current scientific knowledge on the topic.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Crowding / Emergency Service, Hospital / Systematic Reviews as Topic / Health Services Accessibility Type of study: Overview / Systematic reviews Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: Rev. saúde pública (Online) Journal subject: Sa£de P£blica Year: 2020 Type: Article Affiliation country: Brazil Institution/Affiliation country: Fundação Oswaldo Cruz/BR / Secretaria de Estado de Saúde do Distrito Federal/BR

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Full text: Available Index: LILACS (Americas) Main subject: Crowding / Emergency Service, Hospital / Systematic Reviews as Topic / Health Services Accessibility Type of study: Overview / Systematic reviews Limits: Humans Country/Region as subject: South America / Brazil Language: English Journal: Rev. saúde pública (Online) Journal subject: Sa£de P£blica Year: 2020 Type: Article Affiliation country: Brazil Institution/Affiliation country: Fundação Oswaldo Cruz/BR / Secretaria de Estado de Saúde do Distrito Federal/BR