Many problems face the emergency room staff in their efforts to care
for a variety of patients with a variety of needs and injuries. One of the
negative aspects faced in the emergency room is the very real possibility
of misdiagnosis because of the frenzied environment and the element of time
are two of the reasons emergency room patients may be misdiagnosed. One
researcher notes, "For example, an emergency room physician is sometimes
forced to make a decision on the basis of inadequate patient information.
Instant information about the patient's medical history, allergies, and
medications would decrease the incidence of these forced errors" (Bogner
149). In addition, often the emergency room staff work long shifts, and
during particularly busy shifts they may become overly tired and more prone
to make mistakes in diagnosis and treatment. One emergency room failed to
detect a punctured intestine in an elderly woman, and she collapsed two
days later with peritonitis. Another failed to x-ray a young mountain
biking accident victim, and two days later, he collapsed with a broken neck
(Bogner 57, 151). These are examples of misdiagnosis and treatments that
could have been prevented, and this is one negative aspect of busy
emergency rooms, they may simply miss some symptoms, or misdiagnose some
patients because of time constraints or shoddy information.
Another negative aspect of emergency care is the overcrowding of many
emergency rooms, and the long wait patients may have to endure, which can
actually add to their medical woes. In fact, in 2001, only 3 percent of
national emergency rooms said they never experienced overcrowding, and the
problem is expected to get worse for a number of reasons ("Overcrowding,"
2001). First, there is a nationwide shortage of nurses, and this
translates into personnel shortages in all areas of the hospital, including
the emergency room. ...