In her article for the journal, Dr Clare Skinner, Registrar in Emergency Medicine at Royal North Shore Hospital in Sydney, says overcrowding and overwork resulting from access block are harmful to the clinical staff.
Dr Skinner says emergency departments are struggling to attract and retain staff as many are discouraged by having to work under the pressure of an overcrowded department.
“Staff who feel they are unable to provide timely and high-quality care to their patients become burnt out…creating further stress for those left behind,” Dr Skinner says.
“It is vital that steps be taken to improve workforce recruitment and retention, and to better manage escalating workloads.
“These measures must deal with education and training needs, industrial conditions, availability of hospital beds, and provision of appropriate primary, community and outpatient care.”
Mrs Wei Zheng, Senior Surveillance Officer at the Centre for Epidemiology and Research at the NSW Department of Health, and her co-authors studied the increase in visits to NSW EDs over the Christmas and New Year holiday period.
They found this was the busiest time of the year, mainly for non-admitted patients. This was partially as a result of patients presenting to emergency departments because they were unable to see a GP.
“Improving access to GPs, but also to broader hospital and community-based health care services over the holiday period, should be considered for managing the increased demand,” Ms Zheng says.
The
Medical Journal of Australia is a publication of the Australian Medical Association.
Source-MJA
SRM/R