ArticleNigerian medical journal : journal of the Nigeria Medical Association2014
The effect of new emergency program on patient length of stay in a teaching hospital emergency department of Tehran.
Article in Nigerian medical journal : journal of the Nigeria Medical Association, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Areas of delay related to prolonged length of stay in an emergency department of an academic hospital in South Africa.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- New Intervention Model of Regional Transfer Network System to Alleviate Crowding of Regional Emergency Medical Center.Journal of Korean medical science · 2016Article
- Effect of Job Specialization on the Hospital Stay and Job Satisfaction of ED Nurses.Trauma monthly · 2016Article
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Authors and funding
6 authors.
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Abstract
BACKGROUND AND
aimIdeally, the period of patients admitting in the Emergency Department (ED) should not exceed 6 hours. Prolonged of the patients admitting time affects the ED overcrowding, quality of patient care and patient satisfaction. To evaluate the efficacy of new programs and suggest new strategies to reduce the overcrowding in a typical overcrowded ED of general teaching hospital in Tehran city. MATERIALS AND
methodsIn this descriptive case study, charts of patients held over 24 hours, in Imam Hossein Hospital affiliated to the Shaheed Beheshti Medical University, were reviewed from April 21(rd) on August 23(rd), 2008.
resultsOf 15,477 patients, 151 (1%) have been held in the ED over 24 hours. Reasons for this long-stay included:lack of available bed in Intensive Care Unit (ICU) (125 patients), lack of available bed in related wards (18 patients), poor final decision - making by physician (eight patient).
conclusionLong-term stay of patients in ED of teaching hospital is a major problem. The most frequent cause is a limitation of inpatient beds. The long stay time had not been affected by paraclinic procedures, multispecialities involvement or the lack of obvious diagnosis. The following solution is proposed: (1) creation of a holding unit, (2) active inter-facility transfer and (3) governing admittance of patients who need ICU care to related wards.
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