Unsafe Emergency Rooms

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Brutal New AEM Report

[By Staff Reporters]

Hospital emergency rooms are not safely designed or managed, and improvements in working conditions are needed, according to a new study in the Annals of Emergency Medicine [AEM].

AHRQ

According to the Agency for Healthcare Research and Quality [AHRQ], December 9, 2008, the study surveyed 3,562 emergency medicine clinicians in 65 hospitals to examine their perceptions about their emergency department’s safety.

Incriminating Findings

The study found that:

  • Nearly two-thirds of emergency departments reported insufficient space for patient care.
  • One third said the number of patients consistently exceeded ER capacity for safe care.
  • Forty percent reported insufficient physician staffing to handle busy period patient loads.
  • Two-thirds reported insufficient nursing staff to handle patient loads during busy periods.
  • Only a third reported frequent patient waiting-room monitoring.

Suggestions

The researchers recommend the following improvements:

  • Increase or redesign emergency department space.
  • Increase staffing during periods of high demand.
  • Improve information sharing between clinicians by reworking team processes.
  • Improve patient transitions between ER and inpatient areas of the hospital.
  • Provide more computer workstations and access to eHRs.

Assessment

Recently, there has been a plethora of corroborating reports.

Conclusion

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