ReviewRevista de saude publica2020
Interventions in overcrowding of emergency departments: an overview of systematic reviews.
Review in Revista de saude publica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05230108 (Implementation of Advanced Triage in the Emergency Department of Bellvitge University Hospital), which is not on this 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.
Implementation of Advanced Triage in the Emergency Department of Bellvitge University Hospital
Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Effective strategies for reducing patient length of stay in the emergency department: a systematic review and meta-analysis.BMC emergency medicine · 2025Pooled it
- Patient flow in emergency departments: a comprehensive umbrella review of solutions and challenges across the health system.BMC health services research · 2024Pooled it
- Development of a Triage-Level Predictive Model for Hospitalization in the Emergency Department.Journal of clinical medicine · 2026Article
- Translation and validation of the Portuguese version of the "Care of the Dying Evaluation".Revista da Associacao Medica Brasileira (1992) · 2026Observational
- The effectiveness of the diversion of patients from an emergency department waiting room to a virtual medical consultation.Oxford open digital health · 2026Article
- Causes and consequences of overcrowding in emergency departments and its impact on patients' care at main governmental hospitals in Gaza Strip: a cross-sectional study.BMC emergency medicine · 2025Article
- Assessing the Impact of External and Internal Factors on Emergency Department Overcrowding.Healthcare (Basel, Switzerland) · 2025Article
- "A banana in the tailpipe": a qualitative study of patient flow in the healthcare system.BMC health services research · 2025Article
- Activity, triage levels and impact of the pandemic on hospital emergency departments: A multicentre cross-sectional study.Journal of advanced nursing · 2025Observational
- The use and impact of pathology tests in emergency department patients with mental health-related complaints: A cross sectional study.Emergency medicine Australasia : EMA · 2025Article
- Non-emergency department (ED) interventions to reduce ED utilization: a scoping review.BMC emergency medicine · 2024Article
- Limitations and consequences of public health models centred on hospitals and lacking connections with territorial and home-based social and health services.International journal of emergency medicine · 2024Article
- The Use of Medical Services for Low-Acuity Emergency Cases in Germany: Protocol for a Multicenter Observational Pilot Study.JMIR research protocols · 2024Article
- Impact of the Implementation of a Low-Complexity Emergency Care Protocol in the Patient Experience at a Level 3 Academic Institution in Colombia.Open access emergency medicine : OAEM · 2024Article
- Implementation of advanced triage in the Emergency Department of high complexity public hospital: Research protocol.Nursing open · 2023Article
- Access block and overcrowding at the emergency department at Tupua Tamasese Meaole Hospital in Samoa.International journal of emergency medicine · 2023Article
- A methodological framework for evaluating transitions in acute care services in the Netherlands to achieve Triple Aim.BMC research notes · 2022Article
- [Emergency care: need for reform from an outpatient perspective].Innere Medizin (Heidelberg, Germany) · 2022Review
- Overcrowding in Emergency Department: Causes, Consequences, and Solutions-A Narrative Review.Healthcare (Basel, Switzerland) · 2022Review
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
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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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.