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Investigating Indicators of Waiting Time and Length of Stay in Emergency Departments.
Open Access Emerg Med. 2021; 13:311-318.OA

Abstract

Purpose

To investigate potential indicators of patients' waiting time and length of stay in emergency departments (ED) at the Ministry of Health (MOH) hospitals in order to determine the causes of delayed patient care and to recommend clinical implications to achieve a better ED system.

Materials and Methods

This exploratory study was conducted in the EDs at four tertiary hospitals of MOH. A random sample of 1360 people was tested from December 2019 to February 2020. Data included patient Canadian Triage Acuity and System (CTAS) level, registration time, triage time, physician examination time, decision time, and disposition time. Descriptive statistics, multivariate analysis, multiple linear regression analysis and Pearson correlation were used according to SPSS (version 24).

Results

The findings showed that 89.6% of total emergency patients were categorized as levels 3, 4 and 5. Around 73.5% of emergency patients stayed less than 4 hours due to registration or triage to disposition, while 26.5% of those patients stayed more than 4 hours.

Conclusion

The majority of patients' total stay in EDs was less than 4 hours. According to ED international standard of length of stay, this is appropriate. The highest effective indicator in total length of stay was the decision to disposition time in EDs.

Authors+Show Affiliations

Nursing Department, Applied Medical Sciences, Taif University, Taif, Saudi Arabia. Nursing Department, Health directorate in Jeddah, East Jeddah Hospital, Jeddah, Saudi Arabia.Nursing Department, Applied Medical Sciences, Taif University, Taif, Saudi Arabia.Nursing Department, Applied Medical Sciences, Taif University, Taif, Saudi Arabia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

34295196

Citation

Al Nhdi, Nojoud, et al. "Investigating Indicators of Waiting Time and Length of Stay in Emergency Departments." Open Access Emergency Medicine : OAEM, vol. 13, 2021, pp. 311-318.
Al Nhdi N, Al Asmari H, Al Thobaity A. Investigating Indicators of Waiting Time and Length of Stay in Emergency Departments. Open Access Emerg Med. 2021;13:311-318.
Al Nhdi, N., Al Asmari, H., & Al Thobaity, A. (2021). Investigating Indicators of Waiting Time and Length of Stay in Emergency Departments. Open Access Emergency Medicine : OAEM, 13, 311-318. https://doi.org/10.2147/OAEM.S316366
Al Nhdi N, Al Asmari H, Al Thobaity A. Investigating Indicators of Waiting Time and Length of Stay in Emergency Departments. Open Access Emerg Med. 2021;13:311-318. PubMed PMID: 34295196.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Investigating Indicators of Waiting Time and Length of Stay in Emergency Departments. AU - Al Nhdi,Nojoud, AU - Al Asmari,Hajar, AU - Al Thobaity,Abdulellah, Y1 - 2021/07/16/ PY - 2021/04/18/received PY - 2021/07/07/accepted PY - 2021/7/23/entrez PY - 2021/7/24/pubmed PY - 2021/7/24/medline KW - Canadian Triage and Acuity Scale KW - emergency department KW - indicators KW - length of stay KW - waiting time SP - 311 EP - 318 JF - Open access emergency medicine : OAEM JO - Open Access Emerg Med VL - 13 N2 - Purpose: To investigate potential indicators of patients' waiting time and length of stay in emergency departments (ED) at the Ministry of Health (MOH) hospitals in order to determine the causes of delayed patient care and to recommend clinical implications to achieve a better ED system. Materials and Methods: This exploratory study was conducted in the EDs at four tertiary hospitals of MOH. A random sample of 1360 people was tested from December 2019 to February 2020. Data included patient Canadian Triage Acuity and System (CTAS) level, registration time, triage time, physician examination time, decision time, and disposition time. Descriptive statistics, multivariate analysis, multiple linear regression analysis and Pearson correlation were used according to SPSS (version 24). Results: The findings showed that 89.6% of total emergency patients were categorized as levels 3, 4 and 5. Around 73.5% of emergency patients stayed less than 4 hours due to registration or triage to disposition, while 26.5% of those patients stayed more than 4 hours. Conclusion: The majority of patients' total stay in EDs was less than 4 hours. According to ED international standard of length of stay, this is appropriate. The highest effective indicator in total length of stay was the decision to disposition time in EDs. SN - 1179-1500 UR - https://www.unboundmedicine.com/medline/citation/34295196/Investigating_Indicators_of_Waiting_Time_and_Length_of_Stay_in_Emergency_Departments_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/34295196/ DB - PRIME DP - Unbound Medicine ER -
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