Measuring the crowding of emergency departments: an assessment of the NEDOCS in Lombardy, Italy, and the development of a new objective indicator based on the waiting time for the first clinical assessment
We proposed to quantify ED crowding using the waiting time for physician's initial assessment of patients with minor or deferrable urgency, which increases in crowding situations due to the prioritization of urgent patients. The centre-specific cutoffs avoid the problem of the heterogeneity of the volume of accesses and organization among EDs, while enabling a fair comparison between centres.
Authors
- Cristiano Perani (ORCID: https://orcid.org/0000-0002-1334-9725)
- Felice Catania (ORCID: https://orcid.org/0000-0001-5194-806X)
- Francesca Cortellaro (ORCID: https://orcid.org/0000-0001-5182-9837)
- Guido Bertolini (ORCID: https://orcid.org/0000-0002-3101-4259)
- Stefano Paglia (ORCID: https://orcid.org/0000-0002-6146-5560)
- Andrea Duca (ORCID: https://orcid.org/0000-0003-0035-9112)
- Giorgio Costantino (ORCID: https://orcid.org/0000-0002-6391-3849)
- Giulia Irene Ghilardi
- Giovanni Nattino (ORCID: https://orcid.org/0000-0002-3034-6251)
- Walter Ageno (ORCID: https://orcid.org/0000-0002-1922-8879)
- Carlotta Rossi (ORCID: https://orcid.org/0000-0001-9133-971X)
- Paolo Pausilli
- Fabiola Signorini (ORCID: https://orcid.org/0009-0001-7147-9704)
- Giuseppe Maria Sechi
Institutions
- University of Insubria (IT)
- University of Milan (IT)
- Mario Negri Institute for Pharmacological Research (IT)
- Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico (IT)
- Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (IT)
- Azienda Sanitaria Locale di Asti (IT)
- Agenzia Regionale Emergenza Urgenza (IT)
- Ospedale Maggiore di Lodi (IT)
- Istituti di Ricovero e Cura a Carattere Scientifico (IT)
Publication Details
- Journal
- BMC Emergency Medicine
- Published
- 2024-10-17
- DOI
- https://doi.org/10.1186/s12873-024-01112-9
- Citations
- 2
- Primary Topic
- Emergency and Acute Care Studies
- Type
- article
- Field-Weighted Citation Impact
- 1.38