SynthesisBMC emergency medicine2019
Challenges, consequences, and lessons for way-outs to emergencies at hospitals: a systematic review study.
Synthesis in BMC emergency medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- Patient flow in emergency departments: a comprehensive umbrella review of solutions and challenges across the health system.BMC health services research · 2024Pooled it
- The Use of Machine Learning in Emergency Care Units: A Systematic Review.Journal of primary care & community healthPooled it
- Where's the way out? Access block, boarding and hospital overcrowding: a narrative review.Internal and emergency medicine · 2026Review
- Quality improvement in emergency units in low resource settings: a qualitative assessment for understanding challenges and delivering solutions.BMJ open quality · 2026Article
- Simulation of covariate and concept drift in machine learning hospital admission prediction from emergency triage.NPJ digital medicine · 2026Article
- Article
- Early Rule Out of Myocardial Infarction With a Novel High-Sensitivity Cardiac Troponin T Assay.JAMA cardiology · 2026Article
- National landscape of pediatric and adult inpatient sickle cell disease care.Blood advances · 2026Article
- A Machine Learning Strategy to Predict the Number of High-Acuity Children Who Leave Without Being Seen From the Emergency Department.Journal of the American College of Emergency Physicians open · 2026Article
- Article
- Fifteen Years of Emergency Visits for Whiplash Injuries: Impact of COVID-19 and Campaign to Reduce Minor Injury Admission.Life (Basel, Switzerland) · 2025Article
- "A banana in the tailpipe": a qualitative study of patient flow in the healthcare system.BMC health services research · 2025Article
- Response Time and Influencing Factors Among Emergency Nurses in Indonesian Hospital: A Scoping Review of Current Evidence.Journal of multidisciplinary healthcare · 2025Review
- Enhanced forecasting of emergency department patient arrivals using feature engineering approach and machine learning.BMC medical informatics and decision making · 2024Article
- Overcrowding in emergency departments: an overview of reviews describing global solutions and their outcomes.Internal and emergency medicine · 2024Review
- Article
- Emergency department crowding: an overview of reviews describing measures causes, and harms.Internal and emergency medicine · 2023Review
- Access block and overcrowding at the emergency department at Tupua Tamasese Meaole Hospital in Samoa.International journal of emergency medicine · 2023Article
- EFFECT OF THE INTRODUCTION OF EMERGENCY MEDICINE SPECIALISTS ON THE EMERGENCY DEPARTMENT PERFORMANCE INDICATORS: A RETROSPECTIVE DATA ANALYSIS.Acta clinica Croatica · 2022Article
- Usability Testing of a Patient-Centered Mobile Health App for Supporting and Guiding the Pediatric Emergency Department Patient Journey: Mixed Methods Study.JMIR pediatrics and parenting · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEmergency Department (ED) overcrowding adversely affects patients' health, accessibility, and quality of healthcare systems for communities. Several studies have addressed this issue. This study aimed to conduct a systematic review study concerning challenges, lessons and way outs of clinical emergencies at hospitals.
methodsOriginal research articles on crowding of emergencies at hospitals published from 1st January 2007, and 1st August 2018 were utilized. Relevant studies from the PubMed and EMBASE databases were assessed using suitable keywords. Two reviewers independently screened the titles, abstracts and the methodological validity of the records using data extraction format before their inclusion in the final review. Discussions with the senior faculty member were used to resolve any disagreements among the reviewers during the assessment phase.
resultsOut of the total 117 articles in the final record, we excluded 11 of them because of poor quality. Thus, this systematic review synthesized the reports of 106 original articles. Overall 14, 55 and 29 of the reviewed refer to causes, effects, and solutions of ED crowding, respectively. The review also included four articles on both causes and effects and another four on causes and solutions. Multiple individual patients and healthcare system related challenges, experiences and responses to crowding and its consequences are comprehensively synthesized.
conclusionED overcrowding is a multi-facet issue which affects by patient-related factors and emergency service delivery. Crowding of the EDs adversely affected individual patients, healthcare delivery systems and communities. The identified issues concern organizational managers, leadership, and operational level actions to reduce crowding and improve emergency healthcare outcomes efficiently.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.