ArticleBMC emergency medicine2020
Prevalence of crowding, boarding and staffing levels in Swedish emergency departments - a National Cross Sectional Study.
Article in BMC emergency medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Emergency department crowding in the modern era: a systematic review (2018-2025).Clinical and experimental emergency medicine · 2026Pooled it
- The evolving prehospital care: a 12-year retrospective analysis.Scandinavian journal of trauma, resuscitation and emergency medicine · 2026Article
- Evaluation of the implementation process of a new emergency triage system: West coast system for triage (WEST).PloS one · 2026Article
- Determinants of Severely Prolonged Emergency Department Stays Among Older Adults: A Retrospective Comparative Analysis.Journal of nursing management · 2025Article
- Emergency department overcrowding and its associated factors at HARME medical emergency center in Eastern Ethiopia.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- A Systematic Review of the Causes, Consequences, and Solutions of Emergency Department Overcrowding in Saudi Arabia.Cureus · 2023Review
- Is the clinical frailty scale feasible to use in an emergency department setting? A mixed methods study.BMC emergency medicine · 2023Observational
- Emergency department crowding and mortality: an observational multicenter study in Sweden.Frontiers in public health · 2023Article
- Inter-rater reliability of the Clinical Frailty Scale by staff members in a Swedish emergency department setting.Academic emergency medicine : official journal of the Society for Academic Emergency Medicine · 2022Observational
- An Analysis of Waiting Time for Emergency Treatment and Optimal Allocation of Nursing Manpower.Healthcare (Basel, Switzerland) · 2022Article
- Airway management procedures in Swedish emergency department patients - a national retrospective study.BMC emergency medicine · 2022Article
- Differentiating properties of occupancy rate and workload to estimate crowding: A Swedish national cross-sectional study.Journal of the American College of Emergency Physicians open · 2022Article
- Validation of the modified Skåne emergency department assessment of patient load (mSEAL) model for emergency department crowding and comparison with international models; an observational study.BMC emergency medicine · 2021Observational
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
backgroundEmergency Department (ED) crowding occurs when demand for care exceeds the available resources. Crowding has been associated with decreased quality of care and increased mortality, but the prevalence on a national level is unknown in most countries.
methodWe performed a national, cross-sectional study on staffing levels, staff workload, occupancy rate and patients waiting for an in-hospital bed (boarding) at five time points during 24 h in Swedish EDs.
resultsComplete data were collected from 37 (51% of all) EDs in Sweden. High occupancy rate indicated crowding at 12 hospitals (37.5%) at 31 out of 170 (18.2%) time points. Mean workload (measured on a scale from 1, no workload to 6, very high workload) was moderate at 2.65 (±1.25). Boarding was more prevalent in academic EDs than rural EDs (median 3 vs 0). There were an average of 2.6, 4.6 and 3.2 patients per registered nurse, enrolled nurse and physician, respectively.
conclusionED crowding based on occupancy rate was prevalent on a national level in Sweden and comparable with international data. Staff workload, boarding and patient to staff ratios were generally lower than previously described.
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