Superlotação no Pronto Socorro

sexta-feira, 23 de outubro de 2015

RESOLUÇÃO CFM nº 2.077/14

Dispõe sobre a normatização do funcionamento dos Serviços Hospitalares de Urgência e Emergência, bem como do dimensionamento da equipe médica e do sistema de trabalho.


www.portalmedico.org.br

sexta-feira, 25 de julho de 2014

Overcrowding Crisis in Our Nation’s Emergency Departments: Is Our Safety Net Unraveling?

http://www.pediatricreadiness.org/files/PDF/Library/Overcrowding_Crisis_in_Our_Nations_EDs-Is_Our_Safety_Net_Unraveling.pdf

ABSTRACT. Emergency departments (EDs) are a vital
component in our health care safety net, available 24
hours a day, 7 days a week, for all who require care.
There has been a steady increase in the volume and
acuity of patient visits to EDs, now with well over 100
million Americans (30 million children) receiving emergency
care annually. This rise in ED utilization has effectively
saturated the capacity of EDs and emergency
medical services in many communities. The resulting
phenomenon, commonly referred to as ED overcrowding,
now threatens access to emergency services for those who
need them the most. As managers of the pediatric medical
home and advocates for children and optimal pediatric
health care, there is a very important role for pediatricians
and the American Academy of Pediatrics in
guiding health policy decision-makers toward effective
solutions that promote the medical home and timely
access to emergency care. Pediatrics 2004;114:878–888; access
to emergency care, ambulance diversion, emergency
medical services for children, EMTALA, emergency department
overcrowding.

The Crisis in America's Emergency Rooms and What Can Be Done

http://www.heritage.org/research/reports/2007/12/the-crisis-in-americas-emergency-rooms-and-what-can-be-done

America's emergency rooms are in crisis.
Emergency medicine encompasses the care of patients with traumatic injuries or serious signs and symptoms of disease. Quick evaluation and rapid treatment of these patients obviously cannot be done on an "elective" basis. These services are invariably provided under the auspices of a hospital and are available to patients 24 hours a day, seven days a week.

HOW ED CROWDING AFFECTS OUTCOMES

http://www.physiciansweekly.com/emergency-department-crowding-outcomes/



Previous studies have sought to establish a definitive relationship between ED crowding and subsequent mortality, but these investigations often have shortcomings, such as small hospital samples and a lack of adjustment for comorbidities, primary illness diagnoses, and potential hospital-level confounders. In addition, many of these analyses restrict data to specific subgroups, such as patients with acute myocardial infarction, trauma, pneumonia, or critical illness. - See more at: http://www.physiciansweekly.com/emergency-department-crowding-outcomes/#sthash.BNLK6nbn.dpuf
Previous studies have sought to establish a definitive relationship between ED crowding and subsequent mortality, but these investigations often have shortcomings, such as small hospital samples and a lack of adjustment for comorbidities, primary illness diagnoses, and potential hospital-level confounders. In addition, many of these analyses restrict data to specific subgroups, such as patients with acute myocardial infarction, trauma, pneumonia, or critical illness. - See more at: http://www.physiciansweekly.com/emergency-department-crowding-outcomes/#sthash.BNLK6nbn.dpuf
Previous studies have sought to establish a definitive relationship between ED crowding and subsequent mortality, but these investigations often have shortcomings, such as small hospital samples and a lack of adjustment for comorbidities, primary illness diagnoses, and potential hospital-level confounders. In addition, many of these analyses restrict data to specific subgroups, such as patients with acute myocardial infarction, trauma, pneumonia, or critical illness. - See more at: http://www.physiciansweekly.com/emergency-department-crowding-outcomes/#sthash.BNLK6nbn.dpuf

Improving Patient Flow and Reducing Emergency Department Crowding


 http://www.ahrq.gov/research/findings/final-reports/ptflow/index.html

 

A Guide for Hospitals

This guide presents step-by-step instructions that can be used by hospitals in planning and implementing patient flow improvement strategies to ease emergency department crowding.
By Megan McHugh, PhD, Kevin Van Dyke, MPP, Mark McClelland, MN, RN, Dina Moss, MPA. 

Contents

Acknowledgments
Executive Summary
Section 1. The Need to Address Emergency Department Crowding
Section 2. Forming a Patient Flow Team
Section 3. Measuring Emergency Department Performance
Section 4. Identifying Strategies
Section 5. Preparing to Launch
Section 6. Facilitating Change and Anticipating Challenges
Section 7. Sharing Results
References
Appendix A: Guide to Online Resources Successfully Used by Hospitals to Improve Patient Flow
Appendix B: Implementation Plan Template
Appendix C: Example Implementation Plan
Appendix D: Additional Readings