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Addressing Overcrowding in the Emergency Room: A Nursing Perspective

Introduction

Ensuring the proper management of ERs as a core issue that has been threatening the healthcare system of the nation, which is probably the most valuable asset to the country with disastrous consequences, has become one of the biggest concerns. An eddy of patients was given an intensive zigzag path to long wait queues, packed treatment areas, elevated staff stress, and health care risks. This unthinkable situation not only exhausts organizational resources but also leads to critical affordable health care and patient satisfaction. Time is crucial in crises and, therefore, necessary to take urgent actions in and to provide timely and efficient healthcare services in emergency settings. This paper analyzes the ramifications of ED congestion on our establishment and deliberated strategies for dealing with this problem.

Impact of ER Overcrowding on Our Organization

The imbalance of ER as a result of overcrowding always leads to delays in patient care, violations of patient safety, exhaustion, and even demoralization of the staff, as well as a decrease in the level of patient satisfaction (Yusefi et al., 2022). A recent internal study shows that patient morbidity has enhanced significantly over some time, resulting in a higher number of patients waiting for a longer period and treatment areas that are overcrowded. This has battered our resources as providers, the risk of medical errors and complications has increased, and the manner in which we do things has changed for the worse.

Summary of External Articles

Alberti et al. (2019) allude to the challenges in healthcare settings brought about by an ever-increasing number of patients and the complexity of the illnesses. The main focus in healthcare is the delivery of both patient care and safety. Thus, it is clear that increasing patient numbers and the complexity of diseases require practical steps to stave off related issues. When faced with such new problems, more than prior practices may be needed for optimal patient health; therefore, novel ways should be employed. Through full recognition of the continuously changing environment of healthcare delivery, organizations can prioritize approaches that improve safety regulation, optimize care processes, and integrate the newest technologies. The anticipatory approach that tackles the cons of patient condition is one of the best starting points not only to ensure the patient’s health but the overall quality and excellence in healthcare provision as well.

According to Bangoni et al. (2021), a great humanized stress monitoring AI system was created to assist healthcare workers in managing their stress levels. Although not aimed at ER crowding as such, the integration of stress-detection AI technology focuses on the application of out-of-the-box solutions as the panacea to high-pressure environments on healthcare workers. Through deliberately dealing with staff’s professional well-being for them to function optimally, health organizations have the added advantage of materializing a conducive environment for staff to thrive in, employees’ prosperity, and hence, the possibility to boost medical results. Consequently, the use of technology and integrated strategies to support healthcare professionals in meeting the requirements of the job plays a key role in ensuring the creation of a modernized healthcare system that can tolerate the demands of the role of the healthcare professional and perform effectively.

Addressing ER Overcrowding in Other Organizations

Many organizations have come up with multidimensional approaches to tackle the challenge of ER overcrowding (Fraser et al., 2020). Programs aimed at patient flow transition optimization will comprise forethought, triage and admission protocols, and administrative models facilitating the management of transition between the ER and hospital units. Enhancing the workforce and resources requires hiring more staff during peak times, using telemedicine for non-emergency situations, and dispatching mobile units to augment (brackets) adaptability to situations like pandemics. The coalition with community partners, such as urgent care centers and primary care providers, seeks to refer non-urgent cases to the ER but also provide them with alternative care options. It is worth emphasizing the use of technology, for instance, digital health records with real-time tracking and decision support. As a result, the organizations are able to foresee and manage the patient influx, thus determining the most or least in-use resources. The virtual consultation platforms provided by telehealth technology boost the availability and effectiveness of health care through virtual procedures.

Positive and Negative Impacts on Our Organization

Implementing these tactics would help us to reach our goal of unbridling the wait times, improving patient outcomes, and boosting personnel morale and the diversity of resources used. Say, for instance, optimizing the patient flow and converting to digital could reduce waiting time and pave the way for a more effective care delivery. Some problems might occur, for instance, incurred investments in the beginning, discrepancies, and incapacitated workflow.

Conclusion

The main problems with Emergency Department Overcrowding in our organization disturb service quality for patients, work experience for the staff, and the overall operations of our ER. Through the use of outside sources and the provision of evidence-based strategies, we are able to implement cost-effective plans and, as a result, promote the availability of better health care in our organization. Efficient cooperation across departments, adoption of emerging techs, and their regular review and revision are essential to achieve tailored healthcare services in accordance with patients’ needs and staff capacity.

References

Alberti, R., Vincent, C., Nicklin, W., & Braithwaite, J. (2019). Coping with more people with more illness Part 1: The nature of the challenge and the implications for safety and quality. International Journal for Quality in Health Care, 31(2), 154–158.

Bangani, R. G., Menon, V., & Jovanov, E. (2021). Personalized stress monitoring AI system for healthcare workers. In 2021 IEEE International Conference on Bioinformatics and Biomedicine (BIBM), Bioinformatics and Biomedicine (BIBM), 2021 IEEE International Conference On, 2992–2997.

Fraser, C., CCLS, C., & Munn, E. K. (2020). The Value of Certified Child Life Specialists: Direct and Downstream Optimization of Pediatric Patient and Family Outcomes. https://www.denverhealth.org/-/media/Files/Departments-Services/Pediatrics/value-of-cclss-full-report.pdf

Yusefi, A. R., Sharifi, M., Nasabi, N. S., Rezabeigi Davarani, E., & Bastani, P. (2022). Health human resources challenges during COVID-19 pandemic; evidence of a qualitative study in a developing country. PloS one17(1), e0262887. https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0262887

 

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