Evidence map›Paper›PMID 39990614›Full record

ArticleRisk management and healthcare policy2025

Correlation Between Emergency Department Crowding and Adverse Occurrences in an Academic Hospital: A Retrospective Cohort Study.

Wajdan Alassaf, Razan Albrahim, Jana K Abukhaled, Mujahid Aldhaif, Mashaer Ahmed Mohammed, Alia Al Baiz, Muna Aljahany

Abstract read
In one paragraph

Article in Risk management and healthcare policy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Wajdan AlassafDepartment of Emergency, King Abdullah Bin Abdulaziz University Hospital, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Razan AlbrahimDepartment of Internal Medicine, College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Jana K AbukhaledDepartment of Family Medicine, Prince Sultan Military Medical City, Riyadh, Saudi Arabia.
Mujahid AldhaifDepartment of Emergency, King Abdullah Bin Abdulaziz University Hospital, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Mashaer Ahmed MohammedDepartment of Emergency, King Abdullah Bin Abdulaziz University Hospital, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Alia Al BaizDepartment of Epidemiology and Biostatistics, Health Science Research Center, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.
Muna AljahanyDepartment of Internal Medicine, College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia.ORCID 0000-0002-1120-9331

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Emergency care predominantly involves the treatment of abrupt clinical status deteriorations, illness exacerbation, and potentially life-threatening injuries. However, crowding and excessive delays in the emergency department (ED) affect the quality of care and are associated with undesirable outcomes. Objective: This study aimed to determine the association of emergency department (ED) crowding with patient outcomes at a teaching hospital in Saudi Arabia's Central Province. Methods: Using a retrospective chart review of electronic medical records, we extracted mortality, morbidity, and safety events-related data of all adult, pediatric, and obstetric patients who presented to the King Abdullah Bin Abdulaziz University Hospital (KAAUH) emergency department (ED) between January 2019 and December 2022. Based on the emergency department (ED) census, these data were cross-referenced by date with the emergency department (ED) situation. Results: Sixty patients had safety events; medication-related safety events were the most prevalent (38%), followed by care-coordination events (30%). Twenty cases of mortality and morbidity were reported. Crowding significantly affected adverse medication-related and care-coordination events ( Conclusion: In Saudi Arabia, emergency department (ED) crowding signifies a critical healthcare crisis, potentially compromising quality of care. Our findings provide evidence of increased errors in medication, care coordination, and medical care due to emergency department (ED) crowding. Implementing micro and macro-level strategies to reduce emergency department (ED) crowding could help improve patient outcomes.

Indexed as

crowdingemergency departmentmorbiditymortalitysafety eventsSaudi Arabia

Identifiers

PMID39990614
PMCPMC11847434

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.