Jurnal Internasional Afrika vol. 11 issue 2 2021
African Journal of Emergency Medicine
Areas of delay related to prolonged length of stay in an emergency department of an academic hospital in South Africa
Dublin Core
Title
Jurnal Internasional Afrika vol. 11 issue 2 2021
African Journal of Emergency Medicine
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
Areas of delay related to prolonged length of stay in an emergency department of an academic hospital in South Africa
Subject
Emergency department
Input-Throughput-Output model
Length of stay
Input-Throughput-Output model
Length of stay
Description
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.
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.
Creator
Kapari Mashao , Tanya Heyns , Zelda White
Source
www.elsevier.com/locate/afjem
Date
1 February 2021
Contributor
PERI IRAWAN
Format
PDF
Language
ENGLISH
Type
TEXT
Files
Citation
Kapari Mashao , Tanya Heyns , Zelda White , “Jurnal Internasional Afrika vol. 11 issue 2 2021
African Journal of Emergency Medicine
Areas of delay related to prolonged length of stay in an emergency department of an academic hospital in South Africa,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/2621.
African Journal of Emergency Medicine
Areas of delay related to prolonged length of stay in an emergency department of an academic hospital in South Africa,” Repository Horizon University Indonesia, accessed November 21, 2024, https://repository.horizon.ac.id/items/show/2621.