Factors Associated with Occupancy Level in a High- Complexity Emergency Department in Medellín
Introduction: Emergency department (ED) occupancy is influenced by multiple factors, with overcrowding becoming increasingly prevalent. This complex phenomenon is challenging to be measured and negatively impacts patient care delivery. Objectives: To determine the ED occupancy level at Hospital Pab...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
Universidad de Antioquia
2025-04-01
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| Series: | Iatreia |
| Subjects: | |
| Online Access: | https://revistas.udea.edu.co/index.php/iatreia/article/view/352049 |
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| Summary: | Introduction: Emergency department (ED) occupancy is influenced by multiple factors, with overcrowding becoming increasingly prevalent. This complex phenomenon is challenging to be measured and negatively impacts patient care delivery.
Objectives: To determine the ED occupancy level at Hospital Pablo Tobón Uribe, Medellin, using the National Emergency Department Overcrowding Study (NEDOCS), analyzing hospital service factors, processes, physical capacity, and human resources.
Methods: An analytical cross-sectional study was conducted. ED occupancy levels were measured continuously over two weeks. Statistical analysis included univariate, bivariate (Chi-square and Spearman correlation), and multivariate (multiple linear regression) analyses.
Results: NEDOCS indicated dangerously overcrowded conditions 98.2% of the time. Correlation between the emergency physician’s perception and NEDOCS scores showed p=0.526. Multivariate model revealed associations with total ED patients (p=0.427), total patients in resuscitation area (p=0.436), and total ED-admitted patients (p<0.01), with an adjusted R2 of 23%.
Conclusions: ED occupancy levels remained dangerously overcrowded during most of the study period. Development of an explanatory model for factors associated with ED occupancy levels was precluded by the constant nature of the outcome variable. |
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| ISSN: | 0121-0793 2011-7965 |