Management of the services of emergency department in a specialized hospital – a cross sectional study (original) (raw)
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Journal of Current and Advance Medical Research
Background: Emergency department is one of the most important parts of a hospital which is the point of major public health interest. Objective: The purpose of the present study was to find out the existing facilities of emergency department, to assess the satisfaction of patients and health care providers on emergency services. Method: This cross-sectional study was carried out at emergency department of Mugda Medical College, Dhaka, Bangladesh from January 2017 to June 2017 for a period of six (06) months. Research instruments were semi structured questionnaire. Existing facilities at emergency department were assessed by check list which was adopted from Table of Equipment (TOE) by Directorate General of Health Service (DGHS) and satisfaction level was categorized as good and bad. Face to face interview was taken from emergency patients and health care providers attending in emergency unit. Result: A total of 75 samples of respondents were selected purposively. Most of the respon...
Patient satisfaction in emergency department of District Head Quarters Hospital, Rawalpindi
2011
To assess the patient satisfaction in emergency unit by evaluating the healthcare delivery system, attitude and behavior of healthcare givers and extent of available health facilities. Methods A cross sectional descriptive study was conducted among 500 study subjects who came to emergency department of District Head Quarters Hospital, Rawalpindi during a period of two weeks in September 2009. The respondents were enrolled in the study by convenience sampling. The study participants included those patients who received treatment and were about to be discharged or shifted to wards or referred to any other healthcare center. Data was gathered by using interviewer administered questionnaire. Results Of the 500 subjects, 54.5% respondents were patients while 45.5% respondents were their attendants. Majority (33.15%) presented to emergency department with accident related injury. 23.3% respondents had to wait for more than 5 minutes at reception for getting emergency ticket. 38.76% faced difficulty in getting the wheel chair and stretcher. 76.9% had their first contact with doctor in emergency unit while 19.1% and 3.93% were firstly received by nurses and paramedics respectively. 16.38% had to wait for more than 30 minutes for consultation with healthcare providers after getting an emergency ticket. 64.97% were asked for investigations and among those investigations, 60.67% were done in hospital. According to 29.5% respondents, more than 1 hour was spent in getting the report of investigations. 45.51% were partially treated out of which 43.26% brought their medicines from outside. 51.69% stayed in emergency unit for more than 2 hours. 68.54% were satisfied with explanation of the health problems by healthcare givers. 61.8% were fully satisfied with the management while attitude and behavior of doctors, nurses and paramedics were found to be satisfactory by 95.5%, 94.5% and 93.3% respondents respectively. Drinking water was not available to 52.25% respondents. 69.6% were satisfied with seating arrangements. 60.11% had to use their own mobile phone for conversation while telephone facility in emergency department was available to only 15.17%. Conclusion Attitude and behavior of healthcare providers were found to be satisfactory by the respondents. However, some basic requirements in emergency department of the hospital like availability of telephone, provision of safe drinking water and general sanitary conditions need to be fulfilled. (Rawal Med J 2010;35:).
Utilization of Emergency Department, Ukm Medical Centre: Pattern of Patient
Jurnal Teknologi, 2016
An emergency department (ED) is a front door for a hospital where a huge number of patients visit the department to seek immediate treatment. This has led to ED overcrowding. A cross sectional study was conducted to determine the pattern of patients attending the ED in a public teaching hospital in Malaysia. 2013 daily census data contained 66,603 patients were used. In this study, 62.1% of ED attendances are non-critical case. They commonly utilized the ED in the early morning, during weekends, and early part of the week. In conclusion, non-critical patients are seen to be the most frequent ED users. They are commonly present at the ED with minor problems. Hence, ED management should implement various solving methods in order to educate such people regarding the real functions of an ED.
Nursing & Care Open Access Journal, 2018
Emergency departments overcrowding, inadequate nurse patient ratio, wait for start of necessary treatment and lack of communication with family members may lower perceived quality of the patient satisfaction. Aims: To assess the patient satisfaction in terms of nursing care and treatment in emergency department. Material and Methods: The cross sectional descriptive survey was carried among randomly selected 150 patients admitted for >24hrs, in three units of emergency department (Medical emergency, surgical emergency and Trauma emergency) during February to March 2017. Patient satisfaction questionnaire containing 20 items related to admission process, physical environment, ongoing treatment and discharge information was used as tool for data collection. Subjects were interviewed for data collection. Results: The overall quality of care was reported as satisfied by 55% subjects. In further analyzing the components of patient satisfaction, 51% subjects were satisfied for efficiency of admission process and 47% with examination performed by doctor. Whereas dissatisfaction was reported in case of physical cleanliness (59%), high noise level (53%) and lack of potable water and clean toilets by 58% subjects. 61% subjects were satisfied with well explanation of disease condition and 49% with availability of doctors and nurses in emergency. At the same time, subjects reported not satisfaction with components like long waiting times (53%), clinical care (47%), maintaining privacy (41%) and communication (55%). The duration of hospital stay and type of emergency unit had significant association with patients' level of satisfaction at p<0.05. Conclusions: Overall higher numbers of subjects were satisfied with admission process, examination by doctors and explanation of disease condition but unsatisfied with services like long waiting time, communication and clinical care in emergency department.
A Survey of Patients' Satisfaction in Emergency Department of Rasht Poursina Hospital
SBMU publishing, 2014
Introduction: Patients' satisfaction (PS) is one of the important indicators of emergency care quality and outcomes of health care services. Some researchers believe that improve the work processes and hospital quality are not possible without caring to comments, requirements, expectations, and satisfaction of patients. The percent study was aimed to assess the emergency department (ED) PS of Poursina hospital, Rasht, Iran. Methods: In this descriptive cross sectional study, the samples was selected from 378 patients admitted to ED of Poursina Hospital, Rasht, Iran, 2013. For each patient a check list and a questionnaire, including 37 questions about PS, were filled that had categories like physical comfort and residential aspects, physicians care, nurse care, behavioral aspect, and waiting time for service presentation. Data were analyzed by SPSS version 16. Results: Entirely, 378 patients were entered to the study with mean age of 38.44±17.8 (60.8% male). The mean score of total satisfaction of ED patients was 106.94±13.62 (range: 72-144). The mean score of physical comfort was 33.25±4.76 out of the highest obtainable score of 55, nurse care 25.33±5.13 out of 40, physician care 24.34±3.38 out of 40, waiting time for services 13.42±5.48 out of 30, and behavioral aspects 10.58±2.66 out of 20. There were significant relation among PS, sex (P=0.0001), and the shift of admission (P=0.023). Conclusion: The findings of percent study showed that giving services to emergency clients in various fields such as physical comfort and residential aspects, physicians care, nurse care, and the total ED satisfaction is relatively agreeable. The periodic and continuous assessment as well as comparison of satisfaction and dissatisfaction parameters during the time, before and after performing the changes, could be effectual.
2022
The Emergency Department (ED) is a crucial medical treatment unit of hospital specializing in emergency medicine. EDs are responsible for providing immediate healthcare facilities to patients arriving without prior appointment. Thus, evaluating patient satisfaction is of immense importance for efficient service delivery. Very few studies are found in Pakistan, related to patients' satisfaction and utilization of ED services both from demand and supply perspective of ED-Services Supply Chains (SSCs). Data was collected to assess 200 patient's satisfaction towards quality of healthcare services of ED of Sindh Government Qatar Hospital, Orangi town-a tertiary care hospital in Karachi. Structured questionnaire was developed to interview patients and their attendants. Results of SPSS analysis revealed that 55% of patients were transferred to ED within 5 minutes, which shows efficient patient queues and flow management. 64.5% patient's average LOS was between 40-60 minutes. 71% get the availability of basic facilities in ED. Majority of patients i.e. 96.5% and 90.5%, showed satisfaction with the time spent and treatment given by the doctor. Majority of the patients (96%) are satisfied with the services and performance of ED of a tertiary care hospital and 76% patients showed willingness to recommend ED of Government Qatar Hospital, Karachi to others.
Background: The Emergency Department (ED) is the heart of the hospital because it is called upon to provide urgent medical and nursing care at all times to a large number of patients. Its basic competencies include the reception, rejuvenation, diagnosis and treatment of patients with a wide range of problems, including diseases, accidents and behavioural disorders, until they have been discharged or transferred for further care. However, it has been found that coordinating these variables is particularly difficult due economic crises, healthcare system inadequacies, the primary healthcare (PHC) structure, and a lack of proper management and coordination in the ED. Objective: The aim of the present study was to investigate the factors that affect the smooth and efficient operation of the EDs in two state hospitals in Cyprus (Paphos and Paralimni), and to reveal any weaknesses in the PHC services or the emergency pre-hospital care structures. Methodology: This was a quantitative survey conducted between March and May of 2016. Analog random sampling was applied as the sampling method. The Hospital Urgencies Appropriateness Protocol (HUAP), which consisted of four parts, was used as a research tool. 409 patients participated in this study. Results: The analysis of the questionnaires showed that the greatest proportion of patients visiting the ED was < 45 years old, while 79.6% had public health insurance coverage and 62.6% were not economically active. In the HUAP classification, 80.2% had HUAP scores of 4–5 and could have been well served at their PHC centres. Conclusions: These results suggest that unemployment, poverty and aphasia increase the number of patients in the ED. Although many of the patients could have been accommodated in their PHC centres, they chose the ED because they had more confidence in those services.
A Study on the Factors Associated with Non- Urgent Utilization of Emergency Department
2018
Background: Increased use of Emergency Departments (EDs) for non-urgent primary care, overcrowding, and cost factors has forced healthcare systems to promote more "appropriate” use of the ED. However, few studies have evaluated patients' perceptions of emergency and why they utilize the ED for non-urgent medical care. Objective: To understand the factors influencing patients' decision to visit ED for a non-urgent medical condition Materials and Methods : This descriptive study evaluated the utilization of the ED for non-urgent healthcare problems in University Malaya Medical Centre (UMMC) .Two hundred and nine patients were surveyed prospectively regarding their perceptions of the urgeny of their presenting complaints during ED non-urgent visits. Physicians rated the subjects' level of urgency prospectively and retrospectively. The study evaluated patient's characteristics and factors that influence the use of the Emergency Departments for non-urgent cases Resul...
Biomedical Journal of Scientific & Technical Research, 2021
Health care is one of the basic needs of each community. Since considering to healthcare and investing in this sector increases labor productivity and service production, therefore, optimal resource allocation and use of resources is very important. It was found during the study that majority of the patients were more than 60 years of age (47.4%), evening hours (45.0%) were peak time when most of the patients reported. Majority of the Admissions were Direct and significant number of cases were Medico legal (16.0%).
Clinical audit of emergency unit before and after establishment of the emergency medicine department
JPMA. The Journal of the Pakistan Medical Association, 2012
To assess the deficiencies and potential areas through a medical audit of the emergency departments, in six general hospitals affiliated to Shahid Beheshti University of Medical Sciences at Tehran, Iran, after preparing specific wards-based international standards. A checklist was completed for all hospitals which met our eligibility criteria mainly observation and interviews with head nurses and managers of the emergency medicine unit of the hospitals before (2003) and after (2008) the establishment of emergency departments there. Domains studied included staffing, education and continuing professional development (CPD), facility (design), equipment, ancillary services, medical records, manuals and references, research, administration, pre-hospital care, information systems, disaster planning, bench-marking and hospital accreditation. Education and CPD (p = 0.042), design and facility (p = 0.027), equipment (p = 0.028), and disaster (p = 0.026) had significantly improved after the ...