Publicação
Interventions in overcrowding of emergency departments: an overview of systematic reviews
| Resumo: | OBJECTIVE: To present an overview of systematic reviews on throughput interventions to solve the overcrowding of emergency departments. METHODS: Electronic searches for reviews published between 2007 and 2018 were made on PubMed, Cochrane Library, EMBASE, Health Systems Evidence, CINAHL, SciELO, LILACS, Google Scholar and the CAPES periodicals portal. Data of the included studies was extracted into a pre-formatted sheet and their methodological quality was assessed using AMSTAR 2 tool. Eventually, 15 systematic reviews were included for the narrative synthesis. RESULTS: The interventions were grouped into four categories: (1) strengthening of the triage service; (2) strengthening of the ED’s team; (3) creation of new care zones; (4) change in ED’s work processes. All studies observed positive effect on patient’s length of stay, expect for one, which had positive effect on other indicators. According to AMSTAR 2 criteria, eight revisions were considered of high or moderate methodological quality and seven, low or critically low quality. There was a clear improvement in the quality of the studies, with an improvement in focus and methodology after two decades of systematic studies on the subject. CONCLUSIONS: Despite some limitations, the evidence presented on this overview can be considered the cutting edge of current scientific knowledge on the topic. |
|---|---|
| Autores principais: | Bittencourt, Roberto José |
| Outros Autores: | Stevanato, Angelo de Medeiros; Bragança, Carolina Thomé N. M.; Gottems, Leila Bernarda Donato; O’Dwyer, Gisele |
| Assunto: | Emergency Service Hospital Hospital Administration Systematic Review |
| Ano: | 2020 |
| País: | Brasil |
| Tipo de documento: | artigo |
| Tipo de acesso: | unknown |
| Instituição associada: | IBICT |
| Idioma: | inglês |
| Origem: | Oasisbr |
| _version_ | 1871611198145822720 |
|---|---|
| author | Bittencourt, Roberto José |
| author2 | Stevanato, Angelo de Medeiros Bragança, Carolina Thomé N. M. Gottems, Leila Bernarda Donato O’Dwyer, Gisele |
| author2_role | author author author author |
| author_facet | Bittencourt, Roberto José Stevanato, Angelo de Medeiros Bragança, Carolina Thomé N. M. Gottems, Leila Bernarda Donato O’Dwyer, Gisele |
| author_role | author |
| country_str | BR |
| creators_json_txt | [{\"Person.name\":\"Bittencourt, Roberto José\"},{\"Person.name\":\"Stevanato, Angelo de Medeiros\"},{\"Person.name\":\"Bragança, Carolina Thomé N. M.\"},{\"Person.name\":\"Gottems, Leila Bernarda Donato\"},{\"Person.name\":\"O’Dwyer, Gisele\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Bittencourt, Roberto José Stevanato, Angelo de Medeiros Bragança, Carolina Thomé N. M. Gottems, Leila Bernarda Donato O’Dwyer, Gisele |
| datacite.subjects.subject.fl_str_mv | Emergency Service Hospital Hospital Administration Systematic Review |
| datacite.titles.title.fl_str_mv | Interventions in overcrowding of emergency departments: an overview of systematic reviews |
| dc.creator.none.fl_str_mv | Bittencourt, Roberto José Stevanato, Angelo de Medeiros Bragança, Carolina Thomé N. M. Gottems, Leila Bernarda Donato O’Dwyer, Gisele |
| dc.format.none.fl_str_mv | application/pdf application/xml |
| dc.identifier.none.fl_str_mv | https://doi.org/10.11606/s1518-8787.2020054002342 |
| dc.language.none.fl_str_mv | eng |
| dc.publisher.none.fl_str_mv | Universidade de São Paulo. Faculdade de Saúde Pública |
| dc.source.none.fl_str_mv | Revista de Saúde Pública; Vol. 54 (2020); 66 Revista de Saúde Pública; Vol. 54 (2020); 66 Revista de Saúde Pública; v. 54 (2020); 66 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
| dc.subject.none.fl_str_mv | Emergency Service Hospital Hospital Administration Systematic Review |
| dc.title.fl_str_mv | Interventions in overcrowding of emergency departments: an overview of systematic reviews |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | OBJECTIVE: To present an overview of systematic reviews on throughput interventions to solve the overcrowding of emergency departments. METHODS: Electronic searches for reviews published between 2007 and 2018 were made on PubMed, Cochrane Library, EMBASE, Health Systems Evidence, CINAHL, SciELO, LILACS, Google Scholar and the CAPES periodicals portal. Data of the included studies was extracted into a pre-formatted sheet and their methodological quality was assessed using AMSTAR 2 tool. Eventually, 15 systematic reviews were included for the narrative synthesis. RESULTS: The interventions were grouped into four categories: (1) strengthening of the triage service; (2) strengthening of the ED’s team; (3) creation of new care zones; (4) change in ED’s work processes. All studies observed positive effect on patient’s length of stay, expect for one, which had positive effect on other indicators. According to AMSTAR 2 criteria, eight revisions were considered of high or moderate methodological quality and seven, low or critically low quality. There was a clear improvement in the quality of the studies, with an improvement in focus and methodology after two decades of systematic studies on the subject. CONCLUSIONS: Despite some limitations, the evidence presented on this overview can be considered the cutting edge of current scientific knowledge on the topic. |
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| identifier.doi.fl_str_mv | https://doi.org/10.11606/s1518-8787.2020054002342 |
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| institution | IBICT |
| instname_str | IBICT |
| language | eng |
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| oai_identifier_str | oai:revistas.usp.br:article/172895 |
| organization_str_mv | urn:organizationAcronym:oasisbr |
| person_str_mv | Bittencourt, Roberto José Stevanato, Angelo de Medeiros Bragança, Carolina Thomé N. M. Gottems, Leila Bernarda Donato O’Dwyer, Gisele |
| publishDate | 2020 |
| publisher.none.fl_str_mv | Universidade de São Paulo. Faculdade de Saúde Pública |
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| spelling | Interventions in overcrowding of emergency departments: an overview of systematic reviewsBittencourt, Roberto JoséStevanato, Angelo de MedeirosBragança, Carolina Thomé N. M.Gottems, Leila Bernarda DonatoO’Dwyer, GiseleEmergency ServiceHospitalHospital AdministrationSystematic ReviewCopyright (c) 2020 Revista de Saúde Públicaopen accesshttp://purl.org/coar/access_right/c_abf2https://doi.org/10.11606/s1518-8787.2020054002342DOIhttps://www.revistas.usp.br/rsp/article/view/172895URLHasVersionhttps://www.revistas.usp.br/rsp/article/view/172895/162310URLHasVersionhttps://www.revistas.usp.br/rsp/article/view/172895/162311URLHasVersionhttps://doi.org/10.11606/s1518-8787.2020054002342DOI2020-07-27OBJECTIVE: To present an overview of systematic reviews on throughput interventions to solve the overcrowding of emergency departments. METHODS: Electronic searches for reviews published between 2007 and 2018 were made on PubMed, Cochrane Library, EMBASE, Health Systems Evidence, CINAHL, SciELO, LILACS, Google Scholar and the CAPES periodicals portal. Data of the included studies was extracted into a pre-formatted sheet and their methodological quality was assessed using AMSTAR 2 tool. Eventually, 15 systematic reviews were included for the narrative synthesis. RESULTS: The interventions were grouped into four categories: (1) strengthening of the triage service; (2) strengthening of the ED’s team; (3) creation of new care zones; (4) change in ED’s work processes. All studies observed positive effect on patient’s length of stay, expect for one, which had positive effect on other indicators. According to AMSTAR 2 criteria, eight revisions were considered of high or moderate methodological quality and seven, low or critically low quality. There was a clear improvement in the quality of the studies, with an improvement in focus and methodology after two decades of systematic studies on the subject. CONCLUSIONS: Despite some limitations, the evidence presented on this overview can be considered the cutting edge of current scientific knowledge on the topic.engapplication/pdfapplication/xmlUniversidade de São Paulo. Faculdade de Saúde PúblicaRevista de Saúde Pública; Vol. 54 (2020); 66Revista de Saúde Pública; Vol. 54 (2020); 66Revista de Saúde Pública; v. 54 (2020); 661518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPjournal articlehttp://purl.org/coar/resource_type/c_6501literatureVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85 |
| spellingShingle | Interventions in overcrowding of emergency departments: an overview of systematic reviews Bittencourt, Roberto José Emergency Service Hospital Hospital Administration Systematic Review |
| status | SINGLETON |
| status_str | VoR |
| subject.fl_str_mv | Emergency Service Hospital Hospital Administration Systematic Review |
| title | Interventions in overcrowding of emergency departments: an overview of systematic reviews |
| title_full | Interventions in overcrowding of emergency departments: an overview of systematic reviews |
| title_fullStr | Interventions in overcrowding of emergency departments: an overview of systematic reviews |
| title_full_unstemmed | Interventions in overcrowding of emergency departments: an overview of systematic reviews |
| title_short | Interventions in overcrowding of emergency departments: an overview of systematic reviews |
| title_sort | Interventions in overcrowding of emergency departments: an overview of systematic reviews |
| topic | Emergency Service Hospital Hospital Administration Systematic Review |
| topic_facet | Emergency Service Hospital Hospital Administration Systematic Review |
| url | https://doi.org/10.11606/s1518-8787.2020054002342 |
| visible | 1 |
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