ArticleAfrican journal of emergency medicine : Revue africaine de la medecine d'urgence2021
Areas of delay related to prolonged length of stay in an emergency department of an academic hospital in South Africa.
Article in African journal of emergency medicine : Revue africaine de la medecine d'urgence, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Emergency Department length of stay: a mixed-methods study in four Ethiopian public hospitals.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Implementing early warning systems for sepsis recognition in African healthcare settings: an Angolan perspective.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Boarding times of patients admitted to the Emergency Department of an Ethiopian hospital.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Quantifying access block in a South African major trauma centre: a retrospective exploratory study.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Emergency Medicine in South Africa: Progress, challenges, and future directions from a qualitative inquiry.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Association between prolonged Emergency Department stay and Intensive Care Unit mortality among patients at a tertiary hospital in Ethiopia.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- The dawdle, dally and delay of diabetic ketoacidosis: Decoding the emergency department length of stay - A chart review.Journal of the colleges of medicine of South Africa · 2025Article
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- Reducing emergency department length of stay for hematology patients of tikur anbessa specialized hospital: An improvement initiative.PloS one · 2025Article
- The knowledge and skills of emergency department registered nursing staff at an academic hospital in South Africa, on endotracheal tube cuff manometry, before and after a training session.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- Mapping the evidence of emergency nursing research in who Afro-region states: A Scoping Review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024Article
- Article
- Reduction in Average Length-of-Stay in Emergency Department of a Low-Income Country's Cancer Hospital.Journal of cancer & allied specialties · 2024Article
- Article
- Risk factors for extended length of stay and non-home discharge in adults treated with multi-level fusion for lumbar degenerative pathology and deformity.Spine deformity · 2023Article
- Prolonged length of stay and its associated factors at adult emergency department in amhara region comprehensive specialized hospitals, northwest Ethiopia.BMC emergency medicine · 2023Article
- Harmonising Competency-Based Medical and Dental Curricula in Ghana.Journal of medical education and curricular developmentArticle
- Analysis of factors influencing length of stay in the emergency department in public hospital, Padang, Indonesia.Medical journal, Armed Forces IndiaArticle
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Introduction: Globally, length of stay of patients in emergency departments remains a challenge. Remaining in the emergency department for >12 h increases health care costs, morbidity and mortality rates and leads to crowding and lower patient satisfaction.The aim of this research was to describe the areas of delay related to prolonged length of stay in the emergency department of an academic hospital. Methods: A quantitative retrospective study was done. The Input-Throughput-Output model was used to identify the areas of patients' journey through the emergency department. The possible areas of delay where then described. Using systematic sampling, a total of 100 patient files managed in an emergency department of an academic hospital in South Africa were audited over a period of 3 months. Descriptive statistics and regression analysis was used to analyse data. Results: The mean length of stay of patients in the emergency department was 73 h 49 min. The length of stay per phase was: input (3 h 17 min), throughput (16 h 25 min) and output (54 h 7 min). A strong significant relationship found between the length of stay and the time taken between disposition decision (throughput phase) disposition decision to admission or discharge of patients from the ED (output phase) (p < 0.05). Conclusion: The output phase was identified as the longest area of delay in this study, with the time taken between disposition decision to admission or discharge of patients from the ED (patients waiting for inpatient beds) as the main significant area of delay.
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