16 results on '"Ana Soledad, Pedretti"'
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2. Efecto de la inactivación de las órdenes múltiples para solicitud de estudios complementarios en una central de emergencias
- Author
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Agustin Matias Muñoz, Eliana Ludmila Frutos, Ana Soledad Pedretti, Javier Alberto Pollan, Daniel Roberto Luna, Bernardo Julio Martínez, and María Florencia Grande Ratti
- Subjects
sistemas de entrada de órdenes médicas ,informática médica ,costos de la atención en salud ,servicio de urgencia en hospital ,Medicine ,Medicine (General) ,R5-920 - Abstract
Introducción. La plantilla de órdenes múltiples es una herramienta informática que podría producir consecuencias inadvertidas pese a sus innumerables beneficios. Nos propusimos explorar el efecto de su inactivación sobre las solicitudes de estudios complementarios y los costos asociados. Métodos. Corte transversal en la Central de Emergencias de Adultos del Hospital Italiano de Buenos Aires, que incluyó muestra consecutiva de consultas pre-intervención (Enero-Febrero 2020) y post-intervención (2021). Mediante el uso de bases secundarias, las variables incluidas fueron los débitos administrativos y sus respectivos precios de facturación. Resultados. Hubo 27.671 consultas en 2020 con una mediana de valor total de 474$, y 20.819 con 1.639$ en 2021. Tras el análisis restringido al área de consultorios de moderada complejidad (excluyendo consultas por COVID-19), se encontró: una disminución en la mediana del número de prácticas por consulta (mediana de 11 vs 10, p=0,001), una disminución en la solicitud de al menos una práctica de laboratorio (45% versus 39%, p=0,001), sin encontrar cambios significativos en costos globales (mediana 1.419$ vs 1.081$; p=0,122) ni en costos específicos de laboratorio (mediana 1.071$ vs 1.089$, p=0,710). Conclusión. Pese a la inflación interanual, se logró una reducción significativa en el número de prácticas y se mantuvieron los costos globales por consulta. Estos hallazgos demuestran la efectividad de la intervención, pero serán necesarias medidas educativas que apunten al recordatorio de los potenciales daños en la sobreutilización, y los costos sanitarios de los estudios innecesarios.
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- 2023
- Full Text
- View/download PDF
3. Evaluation of Telehealth Service for COVID-19 Outpatients: A Dashboard to Measure Healthcare Quality and Safety.
- Author
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Ana Soledad Pedretti, Santiago Márquez Fosser, Roberto José Mercau Cossio, Jorge Ariel Esteban, Paz Rodriguez, Bernardo Julio Martínez, Santiago Andrés Frid, Daniel R. Luna, Adriana Iannicelli, Fernando Plazzotta, and María Florencia Grande Ratti
- Published
- 2021
- Full Text
- View/download PDF
4. Can CPOE Based on Electronic Order Sets Cause Unintended Consequences (Expensive and Unnecessary Tests) at the Emergency Department?
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Eliana Ludmila Frutos, Agustín Matías Muñoz, Luciana Rovegno, Ana Soledad Pedretti, Carlos Martin Otero, Cintia Gimenez, Daniel Roberto Luna, María Florencia Grande Ratti, and Bernardo Julio Martínez
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- 2021
- Full Text
- View/download PDF
5. Impact of COVID-19 Pandemic on Telehealth and In-Person Visits: Implications from an Emergency Department in Argentina.
- Author
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María Florencia Grande Ratti, Santiago Andrés Frid, Paz Rodriguez, Javier Alberto Pollan, Luciana Rovegno, Jorge Ariel Esteban, Daniel R. Luna, Bernardo Julio Martínez, Ana Soledad Pedretti, and Fernando Plazzotta
- Published
- 2021
- Full Text
- View/download PDF
6. Investigación-Acción Participativa sobre percepciones, preocupaciones y necesidades de los profesionales de salud en una central de emergencias de Argentina
- Author
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Maria Florencia Grande-Ratti, Romina Yasmin Perez-Manelli, Ana Gabriela Herrera, Ana Soledad Pedretti, Valeria Aliperti, Bernardo Martinez, and Adriana Ruth Dawidowski
- Subjects
Servicios Médicos de Urgencia ,Actitud del Personal de Salud ,Investigación Cualitativa ,Agotamiento Profesional ,Violencia Laboral ,Industrial medicine. Industrial hygiene ,RC963-969 - Abstract
Objetivo: Explorar las percepciones, preocupaciones y necesidades del personal de salud en una Central de Emergencias de Adultos (CEA) de Argentina. Métodos: Investigación o acción participativa, coordinada y ejecutada por el propio personal de la CEA, que incluyó médicos/as, personal de enfermería y administrativo/as para participar activamente en la recolección de información y en el análisis. Se utilizaron metodologías mixtas: análisis documental de quejas y reclamaciones escritas por parte de los pacientes, 10 entrevistas individuales y 2 grupos focales reflexivos con 10 integrantes del personal de salud (de diferente cargo y antigüedad, y residentes en formación). Resultados: Los tópicos emergentes fueron factores laborales que inducen al error y atentan contra el encuentro clínico centrado en la persona: la sobrecarga y la falta de tiempo, la sobreutilización de recursos por medicina defensiva y la tecnología que reemplaza el contacto físico. El personal de salud manifestó episodios de agresiones de pacientes o sus familiares, cuando las largas esperas y las insuficiencias estructurales (como falta de camas, saturación de sala de espera, incomodidad) atentan contra la paciencia y la tolerancia. A partir de esta reflexión se generaron mejoras en diversas áreas de la CEA. Conclusiones: La identificación de las problemáticas realizadas por los propios actores de la CEA resultó un método pertinente para generar un proceso de cambio de gestión colectiva, promover la reflexión y concientizar, permitir identificar áreas de mejora, diseñar estrategias y propuestas concretas.
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- 2022
- Full Text
- View/download PDF
7. Impact of COVID-19 Pandemic on Telehealth and In-Person Visits: Implications from an Emergency Department in Argentina
- Author
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Maria Florencia, Grande Ratti, Santiago Andrés, Frid, Paz, Rodriguez, Javier Alberto, Pollan, Luciana, Rovegno, Jorge Ariel, Esteban, Daniel, Luna, Bernardo Julio, Martinez, Ana Soledad, Pedretti, and Fernando, Plazzotta
- Subjects
SARS-CoV-2 ,Communicable Disease Control ,Argentina ,COVID-19 ,Humans ,Emergency Service, Hospital ,Pandemics ,Telemedicine ,Retrospective Studies - Abstract
Since Argentina's government declared a national emergency to combat the COVID-19 pandemic with a lockdown status, it has produced consequences on the healthcare system. We aimed to quantify the effect on the Emergency Department (ED) visits at Hospital Italiano de Buenos Aires. Our electronic health data showed that ED in-person visits declined 46% during the COVID-19 pandemic, from an overall of 176,370 visits during 2019 to 95,421 visits during 2020. Simultaneously, there was a telehealth visits boom when mandatory quarantine began (March 20, 2020): from a median of 12 daily in February 2020 to a median of 338 daily in April 2020; reaching a maximum daily peak of 1,132 on March 26 2020. For a while, teleconsultations replaced ED visits. Then, when face-to-face visits began to increase, teleconsultations began to decrease slowly, as the phenomenon reversed.
- Published
- 2022
8. Can CPOE Based on Electronic Order Sets Cause Unintended Consequences (Expensive and Unnecessary Tests) at the Emergency Department?
- Author
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Eliana Ludmila, Frutos, Agustín Matías, Muñoz, Luciana, Rovegno, Ana Soledad, Pedretti, Carlos Martin, Otero, Cintia, Gimenez, Daniel Roberto, Luna, María Florencia, Grande Ratti, and Bernardo Julio, Martinez
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Electronics ,Emergency Service, Hospital ,Referral and Consultation ,Medical Order Entry Systems - Abstract
Computerized Provider Order Entry (CPOE) systems may cause unintended consequences. This study aimed to describe the on-going system for CPOE order sets, and to explore an economic evaluation at the Emergency Department. First, we developed a costs dashboard which showed us the significant and excessive use of medical tests per consultation. We identified the top 10 most widely used and most expensive tests. Additionally we noticed that the labs seemed to continually increase. Then, we found that 27% of the consultations have at least one item of laboratory practice between January and February 2020, and this represents more than 80% of the consultation costs. Health care spending has reached epic proportions globally. We think that it is time to rethink effective strategies. Maybe it is time to deactivate/remove electronic order sets (EOSs) and the functionality to develop and create their own "private" order sets, in order to eliminate waste and inefficiencies.
- Published
- 2022
9. Evaluation of Telehealth Service for COVID-19 Outpatients: A Dashboard to Measure Healthcare Quality and Safety
- Author
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Ana Soledad, Pedretti, Santiago Márquez, Fosser, Roberto José, Mercau Cossio, Jorge Ariel, Esteban, Paz, Rodriguez, Bernardo Julio, Martinez, Santiago Andres, Frid, Daniel, Luna, Adriana, Iannicelli, Fernando, Plazzotta, and Maria Florencia, Grande Ratti
- Subjects
Outpatients ,COVID-19 ,Humans ,Emergency Service, Hospital ,Pandemics ,Telemedicine ,Quality of Health Care - Abstract
Due to the COVID-19 pandemic, changes and improvements regarding the organization have been made to adapt quickly at the Emergency Department (ED) of the Hospital Italiano de Buenos Aires, Argentina. This article describes the design, implementation, and use of an electronic dashboard which provided monitoring of patients discharged home, during follow-up with telehealth. It was useful to access essential information to organize and coordinate professional work and patients' surveillance, providing highly relevant data in real-time as proxy variables for quality and safety during home isolation. The implemented tool innovated in the integration of technologies within a real context. The information management was crucial to optimize services and decision-making, as well to guarantee safety for healthcare workers and patients.
- Published
- 2022
10. Impact of COVID-19 Pandemic on Telehealth and In-Person Visits: Implications from an Emergency Department in Argentina
- Author
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Maria Florencia Grande Ratti, Santiago Andrés Frid, Paz Rodriguez, Javier Alberto Pollan, Luciana Rovegno, Jorge Ariel Esteban, Daniel Luna, Bernardo Julio Martinez, Ana Soledad Pedretti, and Fernando Plazzotta
- Abstract
Since Argentina’s government declared a national emergency to combat the COVID-19 pandemic with a lockdown status, it has produced consequences on the healthcare system. We aimed to quantify the effect on the Emergency Department (ED) visits at Hospital Italiano de Buenos Aires. Our electronic health data showed that ED in-person visits declined 46% during the COVID-19 pandemic, from an overall of 176,370 visits during 2019 to 95,421 visits during 2020. Simultaneously, there was a telehealth visits boom when mandatory quarantine began (March 20, 2020): from a median of 12 daily in February 2020 to a median of 338 daily in April 2020; reaching a maximum daily peak of 1,132 on March 26 2020. For a while, teleconsultations replaced ED visits. Then, when face-to-face visits began to increase, teleconsultations began to decrease slowly, as the phenomenon reversed.
- Published
- 2022
11. Evaluation of Telehealth Service for COVID-19 Outpatients: A Dashboard to Measure Healthcare Quality and Safety
- Author
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Ana Soledad Pedretti, Santiago Márquez Fosser, Roberto José Mercau Cossio, Jorge Ariel Esteban, Paz Rodriguez, Bernardo Julio Martinez, Santiago Andres Frid, Daniel Luna, Adriana Iannicelli, Fernando Plazzotta, and Maria Florencia Grande Ratti
- Abstract
Due to the COVID-19 pandemic, changes and improvements regarding the organization have been made to adapt quickly at the Emergency Department (ED) of the Hospital Italiano de Buenos Aires, Argentina. This article describes the design, implementation, and use of an electronic dashboard which provided monitoring of patients discharged home, during follow-up with telehealth. It was useful to access essential information to organize and coordinate professional work and patients’ surveillance, providing highly relevant data in real-time as proxy variables for quality and safety during home isolation. The implemented tool innovated in the integration of technologies within a real context. The information management was crucial to optimize services and decision-making, as well to guarantee safety for healthcare workers and patients.
- Published
- 2022
12. Can CPOE Based on Electronic Order Sets Cause Unintended Consequences (Expensive and Unnecessary Tests) at the Emergency Department?
- Author
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Eliana Ludmila Frutos, Agustín Matías Muñoz, Luciana Rovegno, Ana Soledad Pedretti, Carlos Martin Otero, Cintia Gimenez, Daniel Roberto Luna, María Florencia Grande Ratti, and Bernardo Julio Martinez
- Abstract
Computerized Provider Order Entry (CPOE) systems may cause unintended consequences. This study aimed to describe the on-going system for CPOE order sets, and to explore an economic evaluation at the Emergency Department. First, we developed a costs dashboard which showed us the significant and excessive use of medical tests per consultation. We identified the top 10 most widely used and most expensive tests. Additionally we noticed that the labs seemed to continually increase. Then, we found that 27% of the consultations have at least one item of laboratory practice between January and February 2020, and this represents more than 80% of the consultation costs. Health care spending has reached epic proportions globally. We think that it is time to rethink effective strategies. Maybe it is time to deactivate/remove electronic order sets (EOSs) and the functionality to develop and create their own “private” order sets, in order to eliminate waste and inefficiencies.
- Published
- 2022
13. [Participatory Action Research on perceptions, concerns and needs of health professionals in an emergency department from Argentina]
- Author
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Maria Florencia, Grande-Ratti, Romina Yasmin, Perez-Manelli, Ana Gabriela, Herrera, Ana Soledad, Pedretti, Valeria, Aliperti, Bernardo, Martinez, and Adriana Ruth, Dawidowski
- Subjects
Attitude of Health Personnel ,Health Personnel ,Argentina ,Humans ,Health Services Research ,Emergency Service, Hospital - Abstract
To explore perceptions, concerns and needs of healthcare professionals in an emergency department (ED) from Argentina.Participatory action research, coordinated and carried out by ED healthcare professionals, which included physicians, nurses and administrative staff who actively engaged in both data collection and analysis. Mixed methodologies were used: documentary analysis of complaints and written claims by patients, 10 individual interviews, and two reflective focus groups of 10 healthcare professionals (who differed in occupation, seniority and experience, including residents in training).The topics that emerged were work factors that lead to errors and threaten patient-centered clinical encounters: work overload and lack of time, the overuse of resources for defensive medicine purposes and technology that replaces physical contact. Healthcare professionals reported episodes of aggression by patients or their families, when long waits and structural insufficiencies (such as lack of beds, saturation of the waiting room, discomfort) threaten patience and tolerance. From these insights, improvements were generated in various areas of the ED.The identification of problems by the ED stakeholders l was a relevant approach that led to a process of collective management change, promoted reflection and raised awareness, allowing the identification of areas for improvement, design strategies and concrete feasible proposals.Explorar las percepciones, preocupaciones y necesidades del personal de salud en una Central de Emergencias de Adultos (CEA) de Argentina. Métodos: Investigación o acción participativa, coordinada y ejecutada por el propio personal de la CEA, que incluyó médicos/as, personal de enfermería y administrativo/as para participar activamente en la recolección de información y en el análisis. Se utilizaron metodologías mixtas: análisis documental de quejas y reclamaciones escritas por parte de los pacientes, 10 entrevistas individuales y 2 grupos focales reflexivos con 10 integrantes del personal de salud (de diferente cargo y antigüedad, y residentes en formación).Los tópicos emergentes fueron factores laborales que inducen al error y atentan contra el encuentro clínico centrado en la persona: la sobrecarga y la falta de tiempo, la sobreutilización de recursos por medicina defensiva y la tecnología que reemplaza el contacto físico. El personal de salud manifestó episodios de agresiones de pacientes o sus familiares, cuando las largas esperas y las insuficiencias estructurales (como falta de camas, saturación de sala de espera, incomodidad) atentan contra la paciencia y la tolerancia. A partir de esta reflexión se generaron mejoras en diversas áreas de la CEA.La identificación de las problemáticas realizadas por los propios actores de la CEA resultó un método pertinente para generar un proceso de cambio de gestión colectiva, promover la reflexión y concientizar, permitir identificar áreas de mejora, diseñar estrategias y propuestas concretas.
- Published
- 2021
14. Risco de readmissão ao departamento de emergência em pacientes ambulatoriais com COVID19 leve com acompanhamento de telessaúde
- Author
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Marcelo Vallone, Bernardo Martinez, Ana Soledad Pedretti, Rosario Pasquinelli, Fernando Plazzotta, Paz Rodriguez, Daniel R. Luna, Santiago Márquez Fosser, and María Florencia Grande Ratti
- Subjects
Male ,medicine.medical_specialty ,Medicine (General) ,readmissão do paciente ,infecciones por coronavirus ,CORONAVIRUS ,Logistic regression ,patient readmission ,purl.org/becyt/ford/3.3 [https] ,coronavirus infections ,R5-920 ,Ambulatory care ,ambulatory care ,Diabetes mellitus ,Internal medicine ,Outpatients ,medicine ,Emergency medical services ,assistência ambulatorial ,Humans ,Cumulative incidence ,Artículos Originales ,servicios médicos de urgencia ,Retrospective Studies ,serviços médicos de emergência ,SARS-CoV-2 ,business.industry ,atención ambulatoria ,readmisión del paciente ,COVID-19 ,Retrospective cohort study ,General Medicine ,Emergency department ,emergency medical services ,SERVICES ,medicine.disease ,EMERGENCY ,MEDICAL ,Medicine ,Female ,purl.org/becyt/ford/3 [https] ,telemedicine ,Emergency Service, Hospital ,business ,Complication ,telemedicina ,infecções por coronavirus ,Follow-Up Studies - Abstract
Introduction: To describe patients´ characteristics of confirmed COVID-19 with mild symptoms discharged home from the Emergency Department (ED) and followed using telemedicine, to estimate ED-readmission rates and hospitalization, and to explore associated factors with these clinical outcomes. Methods: We performed a retrospective cohort study in Hospital Italiano de Buenos Aires from June to August 2020, which included patients with mild COVID-19 symptoms, diagnosed with a positive result. Follow-up occurred from discharged until EDreadmission or 14 days. We estimate cumulative incidence using the Kaplan-Meier model and associated factors using logistic regression. Results: We included 1,239 patients, with a median of 41 years and 53.82% male. A total of 167 patients were readmitted to the ED within 14 days, with a global incidence rate of 13.08% (95%CI 11.32-15.08). Of these, 83 required hospitalization (median time from diagnosis 4.98 days), 5.98% was not related to any COVID19 complication, and five patients died. After adjustment by confounders (age ≥65, sex, diabetes, hypertension, former smoking, active smoking, fever, diarrhea, and oxygen saturation), we found significant associations: former smoking (adjusted OR 2.09, 95% CI 1.31- 3.34, p0 .002), fever (aOR 1.56, 95% CI 1.07-2.28, p0.002) and oxygen saturation (aOR 0.82, 95% CI 0.71-0.95, p0.009). Conclusion: The 13% rate of ED-readmission during 14 days of follow-up of mild symptomatic COVID-19 patients initially managed as outpatients with telehealth is highly significant in hospital management, quality performance, and patient safety. Introducción: Describir las características de los pacientes COVID-19 con síntomas leves dados de alta desde la Central de Emergencias de Adultos (CEA) y seguidos en forma ambulatoria mediante telemedicina. Estimar las tasas de re-consulta a CEA y hospitalización, y explorar los factores asociados a estos desenlaces. Métodos: Cohorte retrospectiva de Junio a Agosto 2020 en el Hospital Italiano de Buenos Aires, que incluyó personas COVID-19 con síntomas leves. Se siguieron durante 14 días hasta la ocurrencia de re-consulta en CEA y/o hospitalización. Se utilizaron modelos de Kaplan-Meier y regresión logística. Resultados: De un total de 1.239 pacientes, con una mediana de 41 años y 53,82% varones, 167 pacientes reconsultaron a CEA, con una tasa de incidencia global a los 14 días del 13,08% (IC del 95% 11,32 a 15,08). De estos, 83 requirieron hospitalización (media de 4,98 días), el 6% no se relaciona con COVID-19 y 5 pacientes fallecieron. Después del ajuste por factores confundidores (edad ≥65, sexo, diabetes, hipertensión, ex tabaquismo, tabaquismo activo, fiebre, diarrea y saturación de oxígeno), encontramos asociaciones significativas: tabaquismo anterior (ORa 2,09, IC95% 1,31-3,34, p0=0,002), fiebre (ORa 1,56, IC95% 1,07-2,28, p=0,002) y saturación de oxígeno (ORa 0,82, IC95% 0,71-0,95, p=0,009). Conclusión: La tasa del 13% de re-consulta a CEA durante 14 días de seguimiento resultó muy significativa para la gestión hospitalaria, la calidad del desempeño y la seguridad del paciente. Introdução: Descrever as características dos pacientes com COVID-19 com sintomas leves e alta do Centro de Emergência de Adultos (CEA) e acompanhados ambulatorialmente por telemedicina. Estime as taxas de nova consulta ao CEA e de hospitalização e explore os fatores associados a esses resultados. Métodos: Coorte retrospectiva de junho a agosto de 2020 no Hospital Italiano de Buenos Aires, que incluiu COVID-19 com sintomas leves. Eles foram acompanhados por 14 dias até a ocorrência de nova consulta no CEA e / ou internação. Modelos de Kaplan-Meier e regressão logística foram usados. Resultados: De um total de 1.239 pacientes, com mediana de 41 anos e 53,82% homens, 167 pacientes consultaram novamente o CEA, com uma taxa de incidência global em 14 dias de 13,08% (IC95% 11,32 a 15,08). Destes, 83 necessitaram de hospitalização (média de 4,98 dias), 6% não estavam relacionados com COVID-19 e 5 pacientes morreram. Após o ajuste para fatores de confusão (idade ≥65, sexo, diabetes, hipertensão, ex-tabagismo, tabagismo ativo, febre, diarreia e saturação de oxigênio), encontramos associações significativas: tabagismo prévio (ORa 2,09, IC 95% 1,31-3,34, p0 = 0,002), febre (ORa 1,56, IC 95% 1,07-2,28, p = 0,002) e saturação de oxigênio (ORa 0,82, IC 95% 0,71-0,95, p = 0,009). Conclusão: A taxa de 13% de re-consulta ao CEA durante 14 dias de seguimento foi muito significativa para a gestão hospitalar, qualidade do desempenho e segurança do paciente. Fil: Pedretti, Ana. Hospital Italiano. Departamento de Medicina.; Argentina Fil: Márquez Fosser, Santiago. McGill University; Canadá. Hospital Italiano; Argentina Fil: Pasquinelli, Rosario. Hospital Italiano. Departamento de Medicina.; Argentina Fil: Vallone, Marcelo. Hospital Italiano. Departamento de Medicina.; Argentina Fil: Plazzotta, Fernando. Hospital Italiano; Argentina Fil: Luna, Daniel Roberto. Hospital Italiano; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Houssay. Instituto de Medicina Traslacional e Ingeniería Biomédica - Hospital Italiano. Instituto de Medicina Traslacional e Ingeniería Biomédica.- Instituto Universitario Hospital Italiano de Buenos Aires. Instituto de Medicina Traslacional e Ingeniería Biomédica; Argentina Fil: Martínez, Bernardo. Hospital Italiano. Departamento de Medicina.; Argentina Fil: Rodriguez, Paz. Hospital Italiano; Argentina Fil: Grande Ratti, María Florencia. Hospital Italiano; Argentina
- Published
- 2021
15. Descripción de las características del fenómeno Crowding en la Central de Emergencia de Adultos, en un hospital universitario de alta complejidad: estudio de cohorte retrospectiva
- Author
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María Florencia Grande Ratti, Gabriel Waisman, Bernardo Martinez, Fernán Gonzalez Bernaldo de Quirós, Diego Giunta, Hector Peroni, Cristina Elizondo, and Ana Soledad Pedretti
- Subjects
Gerontology ,Ed crowding ,Crowding in ,020205 medical informatics ,business.industry ,Emergency department crowding ,Retrospective cohort study ,02 engineering and technology ,General Medicine ,Overcrowding ,Crowding ,03 medical and health sciences ,0302 clinical medicine ,0202 electrical engineering, electronic engineering, information engineering ,Emergency medical services ,Medicine ,030212 general & internal medicine ,business ,Demography ,Cohort study - Abstract
Crowding in Emergency Departments (ED), results from the imbalance between the simultaneous demand for health care and the ability of the system to respond. The NEDOCS scale (National Emergency Department Crowding Scale) measures the degree of crowding in an ED. Aim: To describe ED Crowding characteristics, using the NEDOCS scale, in an Argentinean hospital. Material and Methods: A retrospective cohort study was conducted with all adult patient consultations between July 2013 and July 2014 at the ED of Hospital Italiano de Buenos Aires. We included all hours in the analysis period (365 days x 24 h = 8,760). The NEDOCS value was calculated for each hour using an automatic algorithm and was quantified in a six points score. Levels 4 (overcrowded), 5 (severely overcrowded) and 6 (dangerously overcrowded) were defined as overcrowding. Contour plots analysis was applied to identify patterns. Results: During the study period, 124,758 visits to the ED were registered. Overcrowding was present in 57.7% (5,055) of the analyzed hours. A predominance of scores between four and five was observed between 10:00 and 24:00 hours. The months with predominance of overcrowding were June, July and August (southern winter). Conclusions: The calculation of the NEDOCS score and the analysis of its temporal distribution are highly relevant to identify opportunities for improvement and to develop mechanisms to prevent the highest categories of overcrowding
- Published
- 2017
16. [Analysis of Crowding in an Adult Emergency Department of a tertiary university hospital]
- Author
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Diego Hernán, Giunta, Ana Soledad, Pedretti, Cristina María, Elizondo, María Florencia, Grande Ratti, Fernán, González Bernaldo de Quiros, Gabriel Darío, Waisman, Hector José, Peroni, and Bernardo, Martínez
- Subjects
Adult ,Male ,Time Factors ,Argentina ,Middle Aged ,Cohort Studies ,Hospitals, University ,Tertiary Care Centers ,Crowding ,Humans ,Female ,Seasons ,Emergency Service, Hospital ,Retrospective Studies - Abstract
Crowding in Emergency Departments (ED), results from the imbalance between the simultaneous demand for health care and the ability of the system to respond. The NEDOCS scale (National Emergency Department Crowding Scale) measures the degree of crowding in an ED.To describe ED Crowding characteristics, using the NEDOCS scale, in an Argentinean hospital.A retrospective cohort study was conducted with all adult patient consultations between July 2013 and July 2014 at the ED of Hospital Italiano de Buenos Aires. We included all hours in the analysis period (365 days x 24 h = 8,760). The NEDOCS value was calculated for each hour using an automatic algorithm and was quantified in a six points score. Levels 4 (overcrowded), 5 (severely overcrowded) and 6 (dangerously overcrowded) were defined as overcrowding. Contour plots analysis was applied to identify patterns.During the study period, 124,758 visits to the ED were registered. Overcrowding was present in 57.7% (5,055) of the analyzed hours. A predominance of scores between four and five was observed between 10:00 and 24:00 hours. The months with predominance of overcrowding were June, July and August (southern winter).The calculation of the NEDOCS score and the analysis of its temporal distribution are highly relevant to identify opportunities for improvement and to develop mechanisms to prevent the highest categories of overcrowding.
- Published
- 2016
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