Emergency department overcrowding and its associated factors at HARME medical emergency center in Eastern Ethiopia

Emergency department (ED) overcrowding has become a significant concern as it can lead to compromised patient care in emergency settings. Various tools have been used to evaluate overcrowding in ED. However, there is a lack of data regarding this issue in resource-limited countries, including Ethiop...

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Bibliographic Details
Published in:African Journal of Emergency Medicine 2024-03, Vol.14 (1), p.26-32
Main Authors: Getachew, Melaku, Musa, Ibsa, Degefu, Natanim, Beza, Lemlem, Hawlte, Behailu, Asefa, Fekede
Format: Article
Language:English
Subjects:
Africa
crowding
Emergency departments
Ethiopia
National emergency department overcrowding study score
Overcrowding
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Summary:Emergency department (ED) overcrowding has become a significant concern as it can lead to compromised patient care in emergency settings. Various tools have been used to evaluate overcrowding in ED. However, there is a lack of data regarding this issue in resource-limited countries, including Ethiopia. This study aimed to validate NEDOCS, assess level of ED overcrowding and identify associated factors at HARME Medical Emergency Center, located in Hiwot Fana Comprehensive Specialized Hospital, Harar, Ethiopia. A cross-sectional study was conducted at the HARME Medical Emergency Center, Hiwot Fana Comprehensive Specialized Hospital, involving a total of 899 patients during 120 sampling intervals. The area under the receiver operating characteristic curves (AUC) was calculated to evaluate the agreement between objective and subjective assessments of ED overcrowding. A multivariable logistic regression analysis was employed to identify factors associated with ED overcrowding and statistically significant association was declared using 95 % confidence level and a p-value
ISSN:2211-4203
2211-419X
DOI:10.1016/j.afjem.2023.12.002