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Multi-dimensional Measurements of Crowding for Pediatric Emergency Departments: A Systematic Review

Authors
  • Abudan, Areej1
  • Merchant, Roland C.2
  • 1 Ministry of Health, Kingdom of Saudi Arabia, Riyadh, Saudi Arabia
  • 2 Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA
Type
Published Article
Journal
Global Pediatric Health
Publisher
SAGE Publications
Publication Date
Feb 27, 2021
Volume
8
Identifiers
DOI: 10.1177/2333794X21999153
PMID: 33718529
PMCID: PMC7923972
Source
PubMed Central
Keywords
Disciplines
  • Systematic Review and Meta-analysis
License
Unknown

Abstract

The absence of accepted crowding measurement tools that encompass the unique characteristics of pediatric emergency departments (EDs) creates a deficit in advancing efforts to identify and evaluate solutions for this growing problem. In this systematic review, we examined 4 studies that reported on the development and testing of multidimensional pediatric ED crowding measurements. Two investigations involved models (PEDOCS, SOTU-PED) that measured factors indicative or contributory to crowding. A third investigation developed a model mapping the flow of patients through the pediatric ED. The final study modeled the magnitude of physician’s work load, particularly when this load is high when crowding is likely present, based on patient arrivals, presenting complaints and conditions, and tests ordered. These works from 4 studies on measuring crowding in pediatric EDs show promise, but this field is at an early stage. Future work should concentrate on comparing the utility of crowding measurements across multiple pediatric ED settings.

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