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Analysis of Waiting Time in Emergency Department of Al-Noor Specialist Hospital, Makkah, Saudi Arabia

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DOI: 10.4236/ojem.2014.24012    4,220 Downloads   5,782 Views   Citations

ABSTRACT

Emergency Department (ED) in Alnoor Hospital is considered the pulsating unit in the hospital by facing a daily challenge through a huge exposure to number of patients round between 500 - 700 per day in average. With this busy service in ED, our study emerges to measure the quality of provided services to patients in term of measuring the total length of stay time (LOS) in ED and its influencing factors. This is a prospective study aiming to estimate the average time patients spend in ED of Alnoor Hospital during the month of January (2013). In addition, it inspects factors influencing the LOS. The questionnaire which conducted and filled by emergency team over all patients was consisted of the following data: arrival time to ED, initial time of assessment by nurse, initial time of assessment by doctor, time of arrival to specific area, consultation time, arrival time of consulted specialty, time of laboratory investigation, time of radiological investigation, time of final disposition and time of physical disposition. For the 7604 patient visits analyzed, mean ED LOS was 3.02 hour (SD = 5.03 hour). About half of the patients spent less than 59 minutes (44%), 32.6% spent 1 to 3:59 hour, 15.2% spent 4 to 7:59 hour, and 8.2% of the patients spent more than 8 hours. A priceless such study will offer an opportunity to evaluate the recent ED performance and assist to adapt future optimization strategies to improve the quality of services provided to the patient.

Cite this paper

Bukhari, H. , Albazli, K. , Almaslmani, S. , Attiah, A. , Bukhary, E. , Najjar, F. , Qari, A. , Sulaimani, N. , Lihyani, A. , Alhazmi, A. , Maghrabi, H. , Alyasi, O. , Albarqi, S. and Eldin, A. (2014) Analysis of Waiting Time in Emergency Department of Al-Noor Specialist Hospital, Makkah, Saudi Arabia. Open Journal of Emergency Medicine, 2, 67-73. doi: 10.4236/ojem.2014.24012.

References

[1] Mehmood, A., et al. (2012) Overcrowded Emergency Departments: A Problem Looking for Solution. Journal Pakistan Medical Association, 62, 529-530.
[2] Horwitz, L.I., et al. (2010) US Emergency Department Performance on Wait Time and Length of Visit. Annals of Emergency Medicine, 55, 133-141. http://dx.doi.org/10.1016/j.annemergmed.2009.07.023
[3] Davis, B., et al. (1995) Factors Affecting ED Length-of-Stay in Surgical Critical Care Patients. American Journal of Emergency Medicine, 13, 495-500. http://dx.doi.org/10.1016/0735-6757(95)90155-8
[4] Krall, S.P., et al. (2014) Hospital Factors Impact Variation in Emergency Department Length of Stay More than Physician Factors. Western Journal of Emergency Medicine, 15, 158-164. http://dx.doi.org/10.5811/westjem.2013.12.6860
[5] Schull, M.J., et al. (2002) Urban Emergency Department Overcrowding: Defining the Problem and Eliminating Misconceptions. Canadian Journal of Emergency Medicine, 4, 76-83.
[6] Yoon, P., et al. (2003) Analysis of Factors Influencing Length of Stay in the Emergency Department. Canadian Journal of Emergency Medicine, 5, 155-161.
[7] Parker, B.T. and Marco, C. (2014) Emergency Department Length of Stay: Accuracy of Patient Estimates. Western Journal of Emergency Medicine, 15, 170-175. http://dx.doi.org/10.5811/westjem.2013.9.15816
[8] Locker, T., et al. (2005) Targets and Moving Goal Posts: Changes in Waiting Times in a UK Emergency Department. Emergency Medicine Journal, 22, 710-714. http://dx.doi.org/10.1136/emj.2004.019042
[9] Beveridge, R., Clarke, B., Janes, L., Savage, N., Thompson, J. and Dodd, G. (1999) Canadian Emergency Department Triage and Acuity Scale: Implementation Guidelines. Canadian Journal of Emergency Medicine, 1, S1-S24.
[10] National Emergency Departments Advisory Group (2014) A Quality Framework and Suite of Quality Measures for the Emergency Department Phase of Acute Patient Care in New Zealand. Ministry of Health, Wellington.
[11] Tashkandy, M.A., et al. (2008) Reasons for Delay in Inpatient Admission at an Emergency Department. Journal of Ayub Medical College Abbottabad, 20, 38-42.
[12] Elkum, N.B., et al. (2011) Canadian Emergency Department Triage and Acuity Scale: Implementation in a Tertiary Care Center in Saudi Arabia. BMC Emergency Medicine, 11, 3. http://dx.doi.org/10.1186/1471-227X-11-3
[13] Alyasin, A. and Douglas, C. (2014) Reasons for Non-Urgent Presentations to the Emergency Department in Saudi Arabia. International Emergency Nursing, 22, 220-225. http://dx.doi.org/10.1016/j.ienj.2014.03.001
[14] Stock, L.M., et al. (1994) Patients Who Leave Emergency Departments without Being Seen by a Physician: Magnitude of the Problem in Los Angeles County. Annals of Emergency Medicine, 23, 294-298. http://dx.doi.org/10.1016/S0196-0644(94)70043-5

  
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