The Investigation of a Tertiary Hospital Emergency Service in terms of Quality Standards

Year 2020, Volume: 6 Issue: 1, 129 - 134, 30.04.2020

Atakan Savrun , Emre Gökçen

https://doi.org/10.19127/mbsjohs.712709

Cited By: 1

Abstract

Objective: Emergency services (ES) are the units where people first apply when they encounter an emergency and provide uninterrupted service 24 hours a day. The quality of these services is as important as the correct diagnosis and treatment of the patients in emergency services. Quality standards for emergency services (QSES) are the scales used for emergency services to provide quality service. In this study, the compliance status of a tertiary hospital emergency service with QSES was investigated.
Methods: Data of emergency service recorded by the quality unit of a tertiary hospital between 01 January 2018 and 31 December 2018 were retrospectively analyzed.
Results: It was found that a total of 90719 patients (27383 in 1st period, 28634 in the 2nd period, 7930 in the 3rd period, 28572 in the 4th period of 2018) applied to the emergency service in 2018. The patients were kept in the observation room for less than 6 hours, which is the target time for staying of patient. Less than 30 minutes when is the target time of the physician to reach the consultation could not be achieved. Less than 3% which is the target ratio of the patients re-applying to the emergency service within twenty-four hours with the same complaint was achieved. Less than 1% which is the target ratio of the patients sent from the emergency service to another center was achieved. Chi-square test test showed that there was a statistically significant difference between the periods in terms of all indicators (p<0.001).
Conclusion: The hospital's situation regarding QSES was examined and quality targets were mostly met. However, additional measures are required to further improve the quality of the service provided in the emergency service.

Keywords

Emergency service, quality standards, healthcare

Project Number

yok

References

• Altındis S, Unal O. Situation of Turkey About Emergency Service Quality Standards. Journal of Biotechnology and Strategic Health Research 2017; 2: 51-59.
• Ay D, Akkas M, Sivri B. Patient population and factors determining length of stay in adult ED of Turkish University Medical Center. J Emerg Med. 2010 Mar; 28 (3): 325-30.
• Aydin T, Aydin S A, Koksal O, Ozdemir F, Kulac S, Bulut M. Evaluation of Features of Patients Attending the Emergency Department of Uludag University Medicine Faculty Hospital and Emergency Department Practices. JAEM 2010: 163-8
• Donmez S S, Durak V A, Torun G, Koksal O, Aydın S. Analysis of the process of consultations in the emergency department. Journal of Uludag University Faculty of Medicine 43 (1) 23-28, 2017
• Dede F. Epidemiological Examination of Patients Aged 65 and Over Admitted to Hacettepe University Adult Emergency Clinic Between January 2005 and December 2005. Specialization thesis. Hacettepe University, Faculty of Medicine. 2006.
• Erenler AK, Akbulut S, Guzel M, Cetinkaya H, Karaca A, Turkoz B, Baydın A. Causes of Excessive Crowd in the Emergency Department: Experiences and Recommendations of an Education Research Hospital. Turkey Emergency Medicine Journal 2014; 14(2): 59-63.
• Emergency Department Waiting Times: American College of Emergency Medicine. Available from: URL: www.acep.org Fact Sheets. (access: 26.04.2020).
• Erdem S, Ozdagoglu G. Analysis of Emergency Patient Data with Data Mining of a Research and Application Hospital in the Aegean Region. Anadolu University Journal of Science and Technology 2008; 9(2): 261-270.
• Health, quality, accreditation and employee rights department. Ministry of Health website. Available from: URL: https://Kalite.Saglik.Gov.Tr/Tr,9081/Indikator-Applemlari.Html (Download Date: 20.03.2020).
• Incesu E, Beylık U, Kucukkendırcı H. The problem of re-admission to emergency services: a case study for a state hospital emergency service in Turkey. Academic Overview Journal 2016; 5381: 1-13
• Kucuk KM, Bas U. A Field Study on The Importance of Computerized Bookkeeping and Benefits of Computerized Accounting Softwares. International Journal of Economic Studies 2017;3(2):131-147.
• Karatas Cıplak S. Emergency service architecture (Doctoral dissertation) Izmir, Dokuz Eylul University, 2007.
• Kılıcaslan I, Bozan H, Oktay C, Goksu E. Demographic properties of patients presenting to the emergency department in Turkey. Turkey Journal of Emergency Medicine 2005; 5(1): 5-13.
• Oktay C, Oktay C, Cete Y, Eray O, Pekdemir M, Gunerli A. Appropriateness of Emergency Department Visits İn a Turkish University Hospital. Croatian Medical Journal 2003; 44(5): 585-91
• Ozyurt E , Aykutlug M , Ugurlu D , Kudas S M , Ilıcan B , Cimen G , Alper M. SMS application in emergency service consultation Dıskapı Hospital model. Health Care Acad J 2018 :5 (4); 275-81
• Ross MA, Compton S, Richardson D, Jones R, Nittis T, Wilson A. The UseAndEffectiveness of An Emergency Department Observation Unit For Elderly Patients. Annals of Emergency Medicine 2003; 41(5): 668–77.
• Quality Health System in Turkey. (QHST),2020; https://kalite.saglik.gov.tr/TR,8785/turkiye-saglikta-kalite-sistemi.html (access: 26.04.2020).
• Yorulmaz M, Karaalp M, Bukecik N, Ozyilmaz A F. Evaluatıon of Emergency Service Again Application Rating. Journal of Social and Technical Researches 14, 2017;14 , 92-99).