Volume 15, Issue 2 (May 2021)
Qom Univ Med Sci J 2021, 15(2): 84-91 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Dinmohammadii M, Abbasi M, Jalali A. Emergency performance indices in emergency centers of teaching hospitals of Zanjan University of Medical Sciences. Qom Univ Med Sci J 2021; 15 (2) :84-91
URL: http://journal.muq.ac.ir/article-1-3127-en.html
URL: http://journal.muq.ac.ir/article-1-3127-en.html
1- Department of Critical Care Nursing, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran.
2- Department of Nursing, School of Nursing and Midwifery, Qum University of Medical Sciences, Qum, Iran.
3- Department of Psychiatric Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran. ,a_jalali@kums.ac.ir
2- Department of Nursing, School of Nursing and Midwifery, Qum University of Medical Sciences, Qum, Iran.
3- Department of Psychiatric Nursing, School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran. ,
Abstract: (2354 Views)
Background and Purpose: The importance of evaluating the performance indices of the emergency department as one of the most important hospital wards is obvious to everyone. Therefore, in the present study, we determined emergency performance indices in emergency centers of educational hospitals of Zanjan University of Medical Sciences.
Methods: This is a cross-sectional descriptive study. In this study, data related to performance indices of emergency center in educational hospitals of Gilan University of Medical Sciences were collected during one full week in Ayatollah Moosavi and Valiasr hospitals by simple random sampling of the Poisson model in a continuous and gradual manner and we recorded the data. In this study, in total, 1341 samples were evaluated in relation to the variable of indices. Finally, the data were analyzed using proper descriptive and inferential statistics and SPSS Ver. 22. The instrument was a questionnaire which included the underlying profile (age, gender, marital status, insurance status, place of residence and degree of education) of the referrals to the emergency department and data of performance indices. Given that the questionnaire used is a checklist related to the standard performance indices recommended by the Ministry of Health of the country, it is reliable and valid.
Results: Emergency performance indices in Zanjanchr('39')s educational centers
was at a favorable level in comparison with other studies; except in cases when there is a triage time interval up to the first physicianchr('39')s visit that is suggested that by doing provisions on the physical environment and ease in the process of patient admission, reduce this time interval and to reduce the long-term stay of patients in
emergency departments we can mention strategies such as preventing multiple services, making the number of counseling purposeful and restricting them to essential counseling and ultimately, following up on the treatment as soon as possible by the relevant services.
Conclusion: Emergency performance indices in Zanjan educational and treatment centers is at a favorable level in comparison with other studies; except in cases when there is a triage time interval up to the first physicianchr('39')s visit that is suggested that by doing provisions on the physical environment and ease in the process of patient admission, reduce this time interval and to reduce the long-term stay of patients in emergency departments we can mention strategies such as preventing multiple services, making the number of counseling purposeful and restricting them to essential counseling and ultimately, following up on the treatment as soon as possible by the relevant services.
Methods: This is a cross-sectional descriptive study. In this study, data related to performance indices of emergency center in educational hospitals of Gilan University of Medical Sciences were collected during one full week in Ayatollah Moosavi and Valiasr hospitals by simple random sampling of the Poisson model in a continuous and gradual manner and we recorded the data. In this study, in total, 1341 samples were evaluated in relation to the variable of indices. Finally, the data were analyzed using proper descriptive and inferential statistics and SPSS Ver. 22. The instrument was a questionnaire which included the underlying profile (age, gender, marital status, insurance status, place of residence and degree of education) of the referrals to the emergency department and data of performance indices. Given that the questionnaire used is a checklist related to the standard performance indices recommended by the Ministry of Health of the country, it is reliable and valid.
Results: Emergency performance indices in Zanjanchr('39')s educational centers
was at a favorable level in comparison with other studies; except in cases when there is a triage time interval up to the first physicianchr('39')s visit that is suggested that by doing provisions on the physical environment and ease in the process of patient admission, reduce this time interval and to reduce the long-term stay of patients in
emergency departments we can mention strategies such as preventing multiple services, making the number of counseling purposeful and restricting them to essential counseling and ultimately, following up on the treatment as soon as possible by the relevant services.
Conclusion: Emergency performance indices in Zanjan educational and treatment centers is at a favorable level in comparison with other studies; except in cases when there is a triage time interval up to the first physicianchr('39')s visit that is suggested that by doing provisions on the physical environment and ease in the process of patient admission, reduce this time interval and to reduce the long-term stay of patients in emergency departments we can mention strategies such as preventing multiple services, making the number of counseling purposeful and restricting them to essential counseling and ultimately, following up on the treatment as soon as possible by the relevant services.
Type of Study: Original Article |
Subject:
بهداشت عمومی
Received: 2021/05/5 | Accepted: 2021/06/1 | Published: 2021/04/19
Received: 2021/05/5 | Accepted: 2021/06/1 | Published: 2021/04/19
References
1. [1] Wilber ST, Gerson LW, Terrell KM, Carpenter CR, Shah MN, Heard K, et al. Geriatric emergency medicine and the 2006 Institute of Medicine reports from the Committee on the Future of Emergency Care in the US health system. Acad Emerg Med. 2006; 13(12):1345-51. [DOI:10.1197/j.aem.2006.09.050] [PMID] [DOI:10.1197/j.aem.2006.09.050]
2. [2] Dahmardehei M, Rashedi F, Koosha F, KHOSH SS. [A study on satisfaction level of patients referred to emergency centers of Zahedan (Persian)]. J Zabol Uni Med Sci Health Serv (J Rostamineh). 2014; 6(1):60-67. https://www.sid.ir/fa/journal/View-Paper.aspx?id=240966
3. [3] Cameron PA, Schull MJ, Cooke MW. A framework for measuring quality in the emergency department. Emerg Med J. 2011;28(9):735-40. [DOI:10.1136/emj.2011.112250] [PMID] [DOI:10.1136/emj.2011.112250]
4. [4] Hashemi B, Baratloo A, Rahmati F, Forouzanfar MM, Motamedi M, Safari S, et al. Emergency department performance indexes before and after establishment of emergency medicine. Emerg. 2013; 1(1):20-3. [PMCID]
5. [5] Casalino E, Choquet C, Bernard J, Debit A, Doumenc B, Berthoumieu A, et al. Predictive variables of an emergency department quality and performance indicator: A 1-year prospective, observational, cohort study evaluating hospital and emergency census variables and emergency department time interval measurements. Emerg Med J. 2013; 30(8):638-45. [DOI:10.1136/emermed-2012-201404] [PMID] [DOI:10.1136/emermed-2012-201404]
6. [6] Dixon A, Ham C. Setting objectives for the NHS commissioning board. BMJ. 2012; 345:e5893. [DOI:10.1136/bmj.e5893] [PMID] [DOI:10.1136/bmj.e5893]
7. [7] Guidotti TL. What key performance indicators can be used in occupational health? J Occup Environ Med. 2012; 54(8):1042-3. [DOI:10.1097/JOM.0b013e3181e5a4b5] [PMID] [DOI:10.1097/JOM.0b013e3181e5a4b5]
8. [8] Donabedian A. Evaluating the quality of medical care. Milbank Mem Fund Q. 1966; 44(3):166-206. [DOI:10.2307/3348969] [DOI:10.2307/3348969]
9. [9] Baratloo A, Rahmati F, Forouzanfar MM, Hashemi B, Motamedi M, Safari S. [Evaluation of performance indexes of emergency department (Persian)]. Iran J Emerg Med. 2015; 2(1):33-8. https://www.researchgate.net/publicatio/271835326_Evaluation_of_Performance_Indexes_of_Emergency_Department
10. [10] Khatiban M, Khazaei A, Karampourian A, Soltanian A, Kimiaie Ah, Salimi R, et al. [The effects of the emergency severity index triage education via problem-based learning on the triage nurses'performance and the patients'length of stay in the emergency department (Persian)]. J Clin Res Paramed Sci. 2014; 3(2):63-74. https://sites.kowsarpub.com/jcrps/articles/82091.html
11. [11] Hing E, Bhuiya FA. Wait time for treatment in hospital emergency departments, 2009. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics; 2012. https://books.google.co/books?id=kPrTHIWmytkCdq=Wait+time+for+treatment+in+hospital+emergency+departments,+2009:+US+Department+of+Health+and+Human+Services&lr=source=gbs_navlinks_s
12. [12] Lambe S, Washington DL, Fink A, Laouri M, Liu H, Fosse JS, et al. Waiting times in California's emergency departments. Ann Emerg Med. 2003; 41(1):35-44. [DOI:10.1067/mem.2003.2] [PMID] [DOI:10.1067/mem.2003.2]
13. [13] Hosseini M, Shaker H, Ghafouri H, Shokraneh F. [Chronometric study of patients' workflow and effective factors on it in emergency department of haftetir hospital of Tehran, Iran (Persian)]. J Health Adm . 2010; 13(40):13-22. https://www.sid.ir/en/journal/ViewPaper.aspx?ID=181981
14. [14] Jabbari A, Jafarian M, Khorasani E, Ghaffari M, Majlesi M. [Emergency department waiting time at alzahra hospital (Persian)]. Health Inf Manag. 2011; 8(4):500-11. https://www.sid.ir/en/journal/ViewPaper.aspx?ID=243067
15. [15] Forster AJ, Stiell I, Wells G, Lee AJ, Van Walraven C. The effect of hospital occupancy on emergency department length of stay and patient disposition. Acad Emerg Med. 2003; 10(2):127-33. [DOI:10.1111/j.1553-2712.2003.tb00029.x] [PMID] [DOI:10.1111/j.1553-2712.2003.tb00029.x]
16. [16] Nasr-Esfahani M, Esmailian M, Nasri M. [Causes of prolonged length of stay for patients referred to the emergency department; A cross-sectional study (Persian)]. Iran J Emerg Med. 2014; 1(1):45-9. [DOI: 10.22037/ijem.v1i1.7312]
17. [17] Wilper AP, Woolhandler S, Lasser KE, McCormick D, Cutrona SL, Bor DH, et al. Waits to see an emergency department physician: US trends and predictors, 1997-2004. Health Aff (Millwood). 2008; 27(2):w84-95. [DOI:10.1377/hlthaff.27.2.w84] [PMID] [DOI:10.1377/hlthaff.27.2.w84]
18. [18] Nasiripour AA, Masoudi Asl I, Fathi E. [The relationship of CPR success and time of patients' referring to emergency department (Persian)]. J Mil Med. 2012; 14(1):21-5. http://militarymedj.ir/article-1-878-en.html
19. [19] Salari A, Mohammadnejad E, Vanaki Z, Ahmadi F. [Survival rate and outcomes of cardiopulmonary resuscitation (Persian)]. Iran J Crit Care Nurs. 2010; 3(2):45-9. http://jccnursing.com/article-1-148-fa.pdf
20. [20] Peberdy MA, Kaye W, Ornato JP, Larkin GL, Nadkarni V, Mancini ME, et al. Cardiopulmonary resuscitation of adults in the hospital: A report of 14 720 cardiac arrests from the National Registry of Cardiopulmonary Resuscitation. Resuscitation. 2003; 58(3):297-308. [DOI:10.1016/S0300-9572(03)00215-6] [DOI:10.1016/S0300-9572(03)00215-6]
21. [21] Mohsin M, Forero R, Ieraci S, Bauman AE, Young L, Santiano N. A population follow-up study of patients who left an emergency department without being seen by a medical officer. Emerg Med J. 2007; 24(3):175-9. [DOI:10.1136/emj.2006.038679] [PMID] [PMCID] [DOI:10.1136/emj.2006.038679]
22. [22] Shirani F, Jalili M, Asl-e-Soleimani H. Discharge against medical advice from emergency department: Results from a tertiary care hospital in Tehran, Iran. Eur J Emerg Med. 2010; 17(6):318-21. [DOI:10.1097/MEJ.0b013e3283334ef1] [PMID] [DOI:10.1097/MEJ.0b013e3283334ef1]
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Owned by Qom University of Medical Sciences
Published by Qom University of Medical Sciences Press
eISSN: 2008-1375
pISSN: 1735-7799
Email: journal[at]muq.ac.ir
j.mua.ac[at]gmail.com
