• Does reducing access block have a role in reducing overcrowding in emergency departments?
Literature review
Emergency department (ED) overcrowding is a serious problem currently facing hospitals in nearly all the states in the United States. It is one of the most common causes of ED dysfunction. Overcrowded EDs tend to exhibit longer waiting times, increased chances of transmission of communicable diseases and increased delays in hospital admission (Richardson, 2006). The problem continues to grow in the US healthcare systems and poses a serious threat to the US healthcare system. Studies have shown that overcrowding in emergency departments is associated with high mortality rate among the American citizens. For instance, a study conducted by Richardson (2006) that sought to quantify the relationship between emergency department overcrowding and 10-day patient mortality found that high ED occupancy is associated with increased mortality in the hospital at 10 days (Richardson, 2006). Besides, it leads to a significant reduction in job satisfaction and burnout among health care personnel.
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