Megan E Marziali, Seth J Prins, Sarah Gutkind, Silvia S Martins
Partner incarceration, maternal substance use, and the mediating role of social support: A longitudinal analysis using the future of families and child wellbeing study
Social science & medicine (1982)
background emergency department ed overcrowding public health crisis affects patient care quality space management ed affect patient flow dynamics clinical practice proposed novel design emergency procedure zone epz purpose epz provide isolated area clinical practice procedure teaching ensure secure area adequate equipment monitors safeguard patient privacy safety study aimed analyze impact epz procedural practice patient flow dynamics methods study conducted ed tertiary teaching hospital taiwan data collected 1 march 2019 31 august 2020 preepz period 1 november 2020 30 april 2022 postepz period statistical analyses performed using ibm spss statistics software study focused number procedures length stay emergency department losed variables analyzed using chisquare test mannwhitney u test statistical significance defined p 005 results 137141 preepz period 118386 postepz period ed visits recorded period postepz period showed significant increase central venous catheter insertion chest tube pigtail placement arthrocentesis lumbar puncture incision drainage procedures p 0001 patients directly discharged ed postepz period also higher percentage ultrasound studies performed ed shorter losed patients directly discharged ed p 0001 conclusions establishment epz ed positive impact procedural efficiency epz improved diagnosis disposition efficiency shortened length stay provided benefits improved management patient privacy teaching opportunities