Comparing the patients' throughput in an Emergency Department in Tabriz city with International Standards

Yıl 2014, , 115 - 118, 01.09.2014

Seyed Hossein Ojaghi Haghighi Samad Shams Vahdati Mahsa Sharifi Namin Sonya Sharifi Namin Paria Habibollahi Akram Mikaeilpour

https://doi.org/10.5505/sakaryamj.2014.05025

Öz

Introduction: Emergency department (ED) patients'throughput includes all the processes that patients go through; this study was designed to investigate the patients throughput and the duration of stay in this department.Methods: In a prospective cross-sectional study, we evaluated the association between workflow process and admission duration in emergency department of Sina hospital of Tabriz from March 20th to July 20th 2011.Result: We studied 800 randomly selected patients referred to the emergency department between 20th March and 20th July 2011. The mean time duration between first visit and disposition was 64.94± 64.7 min (mode= 24min). The most prevalent chief complaint was common cold in which was presented in 448 patientsDiscussion: In the management of emergency department, all of parts must work as a member of team and if one of these members has a problem and does not work properly then pass-through will be happen.

Anahtar Kelimeler

emergency department, throughput, standards

Kaynakça

• ACEP Crowding Resources Task Force. Responding to Emergency Department Crowding: A Guidebook for Chapters. American College of Emergency Physicians; 2002.
• Knickman JR, Lipkin M Jr, Finkler SA, Thompson WG, Kiel J. The potential for using non-physicians to compensate for the reduced availability of residents. Acad Med 1992;67:429-38.
• Sylvester R. NHS faces another bleak winter, says Millburn. The Daily Telegraph 2000; Nov 4.
• Gibbs N. "Do you want to die?" The crisis in emergency care is taking its toll on doctors, nurses-and patients. Time 1990;135:58-60, 62-5.
• Doherty L. Crowded hospitals diverting patients. The Syndney Morning Herald 1998; Mar 11.
• Derlet R, Richards J, Kravitz R. Frequent overcrowding in U.S. emergency departments. AcadEmerg Med 2001;8:151-5.
• Andrulis DP, Kellermann A, Hintz EA, Hackman BB, Weslowski VB. Emergency departments and crowding in United States teaching hospitals. Ann Emerg Med 1991;20:980-6.
• McCabe JB. Emergency department overcrowding: a national crisis. Acad Med 2001;76:672-4.
• Henry M. Overcrowding in America's emergency departments: inpatient wards replace emergency care. AcadEmerg Med 2001;8:188-9.
• Kellermann AL. Déjà vu. Ann Emerg Med 2000;35:83-5.
• Partovi et al. Faculty triage shortens emergency department length of stay. AcadEmerg Med. 2001; 8(10): 990-995.
• Amiri H, Shamsvahdati S, Ghodrati N,Taghizadieh A,Mahmoodivar S,Foroughi M,Nehzati A. The Length of Waiting for First Visit and Disposition in Emergency Department in Tabriz Imam Reza Hospital. Turk J Emerg Med 2008;8(4):160-163
• Emergency Department Management: principles and application/ Editor- in-chief, Richard F Salluzzo et al. Mosby-year book; Inc. 1997; 21: 201-205.
• Strauss and Mayer’s Emergency Department Management. Robert W. Strauss and Thom A. Mayer, 2013, MC Graw Hill.
• Miró O, Antonio MT, Jiménez S, De Dios A, Sánchez M, Borrás A, et al. Decreased health care quality associated with emergency department overcrowding. Eur J Emerg Med 1999;6:105-7.
• Lynn SG, Kellermann AL. Critical decision making: managing the emergency department in an overcrowded hospital. Ann Emerg Med 1991;20:287-92.
• Schull MJ, Slaughter PM, Redelmeier DA. Urban emergency department overcrowding: defining the problem and eliminating misconceptions. CJEM 2002;4:76-83.
• Gorelick MH, Yun HJ. The effect of in-room registration on emergency department length of stay. Ann Emerg Med. 2005; 45: 128-133.
• Emergency Department Management: principles and application/ Editor- in-chief, Richard F Salluzzo et al. Mosby-year book; Inc. 1997; 31: 256-258.
• DeBehnke D, O'Brien S, Leschke R. Emergency medicine resident work productivity in an academic emergency department. AcadEmerg Med 2000;7:90-2.
• Salazar A, Corbella X, Onaga H, Ramon R, Pallares R, Escarrabill J. Impact of a resident strike on emergency department quality indicators at an urban teaching hospital. AcadEmerg Med 2001;8:804-8.
• Gerbeaux P, Ledoray V, Liauthaud H, Torro D, Takun K, Thirree R, et al. Medical student effect on emergency department length of stay. Ann Emerg Med 2001;37:275-8.
• Chan L, Kass LE. Impact of medical student preceptorship on ED patient throughput time. Am J Emerg Med 1999;17:41-3.
• Krochmal P, Riley TA. Increased health care costs associated with ED overcrowding. Am J Emerg Med 1994;12:265-6.