CAUSES OF PROLONGED EMERGENCY DEPARTMENT STAY, A CROSS-SECTIONAL ACTION RESEARCH

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ESMAEILI ROYA; AGHILI SEYED MOJTABA; SEDAGHAT MOJTABA; Afzalimoghaddam Mohammad

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Journal: Frontiers in Emergency Medicine Year:2018 | Volume:2 | Issue:2 Page(s): 0-0

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Title

CAUSES OF PROLONGED EMERGENCY DEPARTMENT STAY, A CROSS-SECTIONAL ACTION RESEARCH

Author(s)

ESMAEILI ROYA | AGHILI SEYED MOJTABA | SEDAGHAT MOJTABA | Afzalimoghaddam Mohammad | Issue Writer Certificate

Keywords

EMERGENCY SERVICE

HOSPITAL

HEALTH SERVICES RESEARCH

HOSPITAL BED CAPACITY

LENGTH OF STAY

Abstract

Introduction: Based on the existing standards, patients presenting to emergency department (ED) should receive a decision in a maximum of 6 hours after admission to ED and leave ED in this time. Unfortunately, most of the time, especially in general and referral HOSPITALs, we witness patients staying in the ED for hours or even days after a decision has been made.Objective: the present study was performed with the aim of evaluating the causes of patients’ prolonged LENGTH OF STAY in ED of one of the major HOSPITALs in Tehran, Iran.Method: The present cross-sectional action research was carried out in the ED of Imam Khomeini HOSPITAL, Tehran, Iran, in November and December 2016. The studied population consisted of patients who stayed in ED for more than 12 hours. In a panel consist of specialists, semi-structured and open questions were asked from the participants. All the interviews were recorded and converted to text. Effective factors of staying more than 12 hours in ED mentioned by the interviewees were extracted. A checklist of evaluating the causes of more than 12 hours stay in ED was prepared. In the next stage, by daily visit to the ED of the studied HOSPITAL, profile of the patients who had stayed in the ED for more than 12 hours was evaluated and the variables determined in the checklist were assessed.Results: In the present study, 407 patients with the mean age of 54.07±20.18 years (minimum 1 and maximum 113 years) were studied, 270 (65.7%) of which were male. Respectively, 26 (6.4%) were admitted in triage level 1, 203 (49.9%) in triage level 2, 168 (41.3%) in triage level 3, 9 (2.2%) in triage level 4 and 1 (0.2%) in triage level 5. Based on these findings, "services not wanting to transfer patients with decisions to the service" was the most common factor.Conclusion: In the present study, specialized services not tending to dislocate the patients that have been decided upon to their respective department, a considerable number of complicated patients and patients with advanced underlying illnesses among those presenting to ED, and shortage of beds in specialized departments and ICU, were the most common causes affecting more than 12 hours stay of patients in the studied ED.

Cites

EFFECT OF IMPLEMENTATION OF STANDARD CLINICAL PRACTICE GUIDELINE ON MANAGEMENT OF GASTROINTESTINAL BLEEDING PATIENTS IN EMERGENCY DEPARTMENT; A CROSS-SECTIONAL STUDY

References

EMERGENCY OVERCROWDING IMPACT ON THE QUALITY OF CARE OF PATIENTS PRESENTING WITH ACUTE STROKE

Cite

APA: Copy

ESMAEILI, ROYA, AGHILI, SEYED MOJTABA, SEDAGHAT, MOJTABA, & Afzalimoghaddam, Mohammad. (2018). CAUSES OF PROLONGED EMERGENCY DEPARTMENT STAY, A CROSS-SECTIONAL ACTION RESEARCH. (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE, 2(2), 0-0. SID. https://sid.ir/paper/351026/en

Vancouver: Copy

ESMAEILI ROYA, AGHILI SEYED MOJTABA, SEDAGHAT MOJTABA, Afzalimoghaddam Mohammad. CAUSES OF PROLONGED EMERGENCY DEPARTMENT STAY, A CROSS-SECTIONAL ACTION RESEARCH. (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE[Internet]. 2018;2(2):0-0. Available from: https://sid.ir/paper/351026/en

IEEE: Copy

ROYA ESMAEILI, SEYED MOJTABA AGHILI, MOJTABA SEDAGHAT, and Mohammad Afzalimoghaddam, “CAUSES OF PROLONGED EMERGENCY DEPARTMENT STAY, A CROSS-SECTIONAL ACTION RESEARCH,” (FRONTIERS IN EMERGENCY MEDICINE) ADVANCED JOURNAL OF EMERGENCY MEDICINE, vol. 2, no. 2, pp. 0–0, 2018, [Online]. Available: https://sid.ir/paper/351026/en

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