ORIGINAL ARTICLE
The factors affecting the waiting time of outpatients in the emergency unit of selected teaching hospitals of Tehran
 
More details
Hide details
1
Student of Ph.D. by Research, Hospital Administration Research Center, Sari Branch, Islamic Azad University, Sari, Iran
2
Associated Professor of Hospital Administration Research Center, Sari Branch, Islamic Azad University, Sari, Iran
3
MSc student of health services management, Sari Branch, Islamic Azad University, Sari, Iran
Publish date: 2018-07-10
 
Electron J Gen Med 2018;15(4):em66
KEYWORDS:
ABSTRACT:
Background and Objective:
Long stops in the emergency unit will result in patient dissatisfaction and increased casualties. The present study aimed to determine the waiting time of patients visiting the emergency unit of two selected teaching hospitals in Tehran and the factors affecting it.

Methodology:
The present research was a cross-sectional descriptive-analytic study which was conducted in 2016. The statistical population included all patients and their caregivers in the emergency unit of Mofid and Ali Asghar hospitals, 335 of whom were selected were selected as the sample. The required data were collected using the patient’s waiting time form and an author-made questionnaire, whose validity was confirmed by experts and its reliability was obtained 90% using Cronbach’s alpha. The data were analyzed using ANOVA and independent t-test in SPSS-22.

Findings:
The results indicated that factors such as the large number of patients, long distance between emergency units, poor communication, and the low number of manpower affect the prolonged patient waiting time. In addition, the results showed the patient waiting time has a significant relationship with working shift, the day of visit, and insurance coverage (p≤0.05).

Conclusion:
The study findings suggested that several factors increase the waiting time of patients in emergency units. Hence, it is recommended to take necessary measures for proper distribution of manpower in a different working shift and also on weekdays and holidays in order to reduce the patient waiting time. In addition, skills and experience of the emergency unit staff need to be improved through training courses.

 
REFERENCES (24):
1. Lee G, Endacott R, Flett K, Bushnell R. Characteristics of patients who did not wait for treatment in the emergency department: a follow up survey. Accident and Emergency Nursing 2006;14:56-62. https://doi.org/10.1016/j.aaen....
2. Rowe B, Schull M, Adamson B. Understanding Emergency Department Wait Times. 2005;15.
3. Zafarghandi M. [University strategies for quality improvement of emergency system]. Proceedings of the First Congress on Quality Improvement in Emergency Management; 2011; Tehran (Persian).
4. Khosravi S, Pouria-Mofrad A, Shamsipour M, Soorany H. [The effects of improvement plan on the emergency services in Kashani & Hajar Hospitals of Shahrekord]. Journal of Downloaded from jhpm.ir at 23:06 +0330 on Sunday September 24th 2017. Shahrekord University of Medical Sciences. 2005;7(2):71-80 (Persian).
5. CM F. [Hospital Administration]. Tehran: Social Security Research Institute:1999 (Persian).
6. Heydaranlou E, Khaghani Zadeh M, Ebadi A, Sirati Nir M, Aghdasi Mehr Abad N. [A survey on implementation of FOCUS-PDCA on performance of Tabriz Shahid Mahalati emergency department]. Journal of Military Medicine. 2008;10(4):5-9 (Persian).
7. Waseem M, Ravi L, Radeos M, Ganti S. Parental perception of waiting time and its influence on parental satisfaction in an urban pediatric emergency department: are parents accurate in determining waiting time? Southern medical journal. 2013;96(9):880-4. https://doi.org/10.1097/01.SMJ....
8. Schafermeyer RW, Asplin BR. Hospital and emergency department crowding in the United States. Emergency Medicine. 2013;15(1):22-7. https://doi.org/10.1046/j.1442....
9. McHugh M, Van Dyke K, McClelland M, Moss D. Improving Patient Flow and Reducing Emergency Department Crowding. 2011:8.
10. Ajami S, Ketabi S, Bagherian Mahmood Abadi H. Reducing waiting time in emergency department at Ayatollah-Kashani Hospital using simulation. Journal of Health Administration. 2013;16(51):84-94.
11. Golaghaie F, Sarmadian H, Rafiie M, Nejat N. [A study on waiting time and length of stay of attendants to emergency department of Vali-e-Asr Hospital, Arak-Iran]. Arak Medical University Journal. 2008;11(2):74-83 (Persian).
12. Emami M. [A survey on quality of emergency services for patients in Alzahra hospital]. MSc Thesis. Isfahan: Isfahan University of Medical Sciences; 2008 (Persian).
13. Zohoor A, Pilevar Zadeh M. [Study of speed of offering services in emergency department at Kerman Bahonar hospital in 2000]. Razi Journal of Medical Sciences. 2003;10(35):413-9 (Persian).
14. Nasiripour A JK, Aghamohamadi S. Study Of Waiting Time In Shahid Dastani’s Specialized Clinics Of Shariati Hospital Using By Six Sigma Model. payavard. 2011;4(3):50.
15. Maryam MaddiNeshat G-AR, Behroz Azimi, Akram Niknam Assessing trauma patients’ waiting time and its associated factors referred to an emergency department. Payesh. 2015;2:155-65.
16. Implementation handbook. Rockville, MD: Agency for Healthcare Research and Quality. 2009:1-72.
17. Davidoff F, Florance V. The informationist: a new health profession? Annals of internal medicine. 2009;132(12):996-8. https://doi.org/10.7326/0003-4....
18. Abdollahi E FS, Hajian Motlaq N, Abdollahi S. Patient Satisfaction in the Emergency Department of Savodjbolaq Hospitals. Alborz unversity medical journal. 2015;4(3):176-83. https://doi.org/10.18869/acadp....
19. Tabibi SJ, Najafi B, Shoaie S. Waiting time in the emergency department in selected hospitals of Iran University of Medical Sciences. Pejouhesh dar Pezeshki. 2009;33(2).
20. Masoumpour S, Rahimi S, Kharazmi E, Kavousi Z, Mosalah NH, Abedi Z. Assessing waiting time in emergency department of Shahid Faghihi hospital, Shiraz and presenting appropriate strategies using quality function deployment (QFD) method, 2011.2012.2013.
21. Bukhari H, Albazli K, Almaslmani S, Attiah A, Bukhary E, Najjar F, et al. Analysis of Waiting Time in Emergency Department of Al-Noor Specialist Hospital, Makkah, Saudi Arabia. Open Journal of Emergency Medicine. 2014;2(04):67. https://doi.org/10.4236/ojem.2....
22. Horwitz LI, Green J, Bradley EH. US emergency department performance on wait time and length of visit. Annals of emergency medicine. 2010;55(2):133-41. https://doi.org/10.1016/j.anne....
23. Gilboy N, Tanabe P, Travers D, Rosenau A, Eitel D. Emergency severity index, version 4: implementation handbook. Rockville, MD: Agency for Healthcare Research and Quality. 2009:1-72.
24. Ramazankhani A, Marzban S, Naghibzadeh-Tahami A, Sarani A. Assessing waiting time patients in emergency ward of Kerman University of Medical Sciences. Journal of Health Promotion Management. 2016;5(2):20-30.
eISSN:2516-3507