STUDY OF THE CAUSES OF MORE THAN 6-HOUR STAY IN PATIENTS REFERRED TO EMERGENCY HOSPITAL OF IMAM HOSSEIN, SHAHROOD

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ZOHRE SALEH NASSAJ, Ebrahim moghimi far, Forogh nokhostin

Abstract

Introduction: The increase in the duration of patients stay and failure to determine their timely assignment in the emergency department has a negative impact on the quality-of-service provision and increases dissatisfaction. The purpose of this study was to investigate the causes of long-term residence of patients referred to an emergency department.


Materials and Methods: This cross-sectional study was performed on 400 emergency attendants from Imam Hossein Shahrood Hospital in 2018 so as to investigate the causes of emergency survival. The collected data were analyzed by frequency distribution, percentage and mean using SPSS software.


Results: 51.2% of the subjects were male and 48.8% were female. The mean age was 55.38 ± 20.68 years. The mean of patient stay in the emergency department was 10.44 ± 4.52 hours. The highest time of night shifts (67.5%) and the most prevalent cause of emergency stay was the absence of an empty bed (36%).


Conclusion: The present study shows that the length of stay in emergency departments is high. Significant causes are the patient’s survival and prolonged stay in the emergency department which can be attributed to reasons such as population crowding exceeding hospital reception capacity, inappropriateness of beds with clients, delay in counseling and test reports, and lack of timely access to Ancal Medical Center. By eliminating these factors, the duration of service with regards to patients referred to emergency departments can be reduced.

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