Emergency department crowding is not being caused by increased inappropriate presentations
Contrary to the prevailing wisdom, there may be little or no room to move with respect to reducing emergency department (ED) utilisation, as ED utilisation in Aotearoa New Zealand is low by world standards and is not driven by patients presenting inappropriately with minor conditions. We should cont...
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| Veröffentlicht in: | New Zealand medical journal 2023-12, Vol.136 (1586), p.94-98 |
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| container_end_page | 98 |
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| container_title | New Zealand medical journal |
| container_volume | 136 |
| creator | Jones, Peter G Jackson, Gary |
| description | Contrary to the prevailing wisdom, there may be little or no room to move with respect to reducing emergency department (ED) utilisation, as ED utilisation in Aotearoa New Zealand is low by world standards and is not driven by patients presenting inappropriately with minor conditions. We should continue the excellent work done in the primary care sector to maintain our low ED presentation rate and support primary and urgent care providers to provide alternatives to the ED for people with minor conditions. However, to reduce the system pressure and harms caused by ED crowding due to access block for admitted patients, we also need to adequately resource our hospital-based inpatient teams and EDs so that the (appropriate) acute care workload can be managed safely. |
| doi_str_mv | 10.26635/6965.6265 |
| format | Article |
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We should continue the excellent work done in the primary care sector to maintain our low ED presentation rate and support primary and urgent care providers to provide alternatives to the ED for people with minor conditions. However, to reduce the system pressure and harms caused by ED crowding due to access block for admitted patients, we also need to adequately resource our hospital-based inpatient teams and EDs so that the (appropriate) acute care workload can be managed safely.</description><identifier>ISSN: 1175-8716</identifier><identifier>EISSN: 1175-8716</identifier><identifier>DOI: 10.26635/6965.6265</identifier><identifier>PMID: 38033244</identifier><language>eng</language><publisher>New Zealand: Pasifika Medical Association Group (PMAG)</publisher><subject>Crowding ; Emergency medical care ; Emergency Service, Hospital ; Family physicians ; Health sciences ; Hospitalization ; Humans ; New Zealand ; Pandemics ; Primary care ; Public health ; Trends ; Workload ; Workloads</subject><ispartof>New Zealand medical journal, 2023-12, Vol.136 (1586), p.94-98</ispartof><rights>PMA.</rights><rights>Copyright New Zealand Medical Association (NZMA) Dec 1, 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38033244$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jones, Peter G</creatorcontrib><creatorcontrib>Jackson, Gary</creatorcontrib><title>Emergency department crowding is not being caused by increased inappropriate presentations</title><title>New Zealand medical journal</title><addtitle>N Z Med J</addtitle><description>Contrary to the prevailing wisdom, there may be little or no room to move with respect to reducing emergency department (ED) utilisation, as ED utilisation in Aotearoa New Zealand is low by world standards and is not driven by patients presenting inappropriately with minor conditions. 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However, to reduce the system pressure and harms caused by ED crowding due to access block for admitted patients, we also need to adequately resource our hospital-based inpatient teams and EDs so that the (appropriate) acute care workload can be managed safely.</description><subject>Crowding</subject><subject>Emergency medical care</subject><subject>Emergency Service, Hospital</subject><subject>Family physicians</subject><subject>Health sciences</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>New Zealand</subject><subject>Pandemics</subject><subject>Primary care</subject><subject>Public health</subject><subject>Trends</subject><subject>Workload</subject><subject>Workloads</subject><issn>1175-8716</issn><issn>1175-8716</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkE1LAzEQhoMotlYv_gBZ8CJCaz422exRSv2Aghe9eAn5mJYt3eya7CL992ZtFfE0M_DMy8yD0CXBMyoE43eiFHwmqOBHaExIwaeyIOL4Tz9CZzFuMKacl_gUjZjEjNE8H6P3RQ1hDd7uMgetDl0NvstsaD5d5ddZFTPfdJmBYbC6j-Ays8sqbwPoYai8btvQtKHSHWRtgJj2dVc1Pp6jk5XeRrg41Al6e1i8zp-my5fH5_n9cmoZwd2UEpbnhhrthMy5NtY4i7WWTBq3KqAUBjQxJeSi0K4A4LkDKpgBg1lZUMcm6Gafm-746CF2qq6ihe1We2j6qKgshcS0lCKh1__QTdMHn65TtMSYJZsyT9TtnkoaYgywUum9WoedIlh9G1eDcTUYT_DVIbI3Nbhf9Ecx-wKGOnx8</recordid><startdate>20231201</startdate><enddate>20231201</enddate><creator>Jones, Peter G</creator><creator>Jackson, Gary</creator><general>Pasifika Medical Association Group (PMAG)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AYAGU</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20231201</creationdate><title>Emergency department crowding is not being caused by increased inappropriate presentations</title><author>Jones, Peter G ; 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| fulltext | fulltext |
| identifier | ISSN: 1175-8716 |
| ispartof | New Zealand medical journal, 2023-12, Vol.136 (1586), p.94-98 |
| issn | 1175-8716 1175-8716 |
| language | eng |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Crowding Emergency medical care Emergency Service, Hospital Family physicians Health sciences Hospitalization Humans New Zealand Pandemics Primary care Public health Trends Workload Workloads |
| title | Emergency department crowding is not being caused by increased inappropriate presentations |
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