RT Journal Article
T1 Proposing a physiological model for Emergency Department. Operating principles, classification of overcrowding and guidelines for redesign
A1 Carranza, M. Herrera
A1 Correa, F. Aguado
A1 Garrido, N. Padilla
A1 Camaeho, F. Lopez
K1 Hospital emergency service
K1 Emergency service overcrowding
K1 Overload
K1 Health management
AB The operation of Emergency Departments (ED) is determined by demand, their own organizational structures and the connection to other medical care levels. When these elements are not simultaneous, it hinders patient flow and decreases capacity, making it necessary to employ a systemic approach to the chain of emergency care as a single operational entity. With this theoretical orientation, we suggest a conceptual model similar to the physiological cardiac output, in which the preload is the demand, the contractile or flow pump is the organizational structure, the after load is the hospital, the pre-ED valve is primary care and outpatient emergencies, and the post-ED valve is the diagnostic support services and the specialist consultants. Based on this theoretical approach we classify the different types of ED overcrowding and systematise its causes and the different waiting lists that it generates, which can help to redesign the service and avoid its saturation.
PB Gobierno de navarra
SN 1137-6627
YR 2017
FD 2017-01-01
LK http://hdl.handle.net/10668/19484
UL http://hdl.handle.net/10668/19484
LA es
DS RISalud
RD Apr 5, 2025