CORRELATION OF ADMISION TIME, DISCHARGE TIME AND PATIENTS DISCHARGE TYPE WITH LENGTH OF STAY IN YELLOW ZONE OF EMERGENCY DEPARTMENT
DOI:
https://doi.org/10.31674/mjn.2019.v11i01.002Abstract
Background: The number of patients continues to increase each year in Emergency Department (ED), especially in Priority 2 / Yellow Zone. The ED cannot predict patient’s condition and when the patient comes for admission the time is various. The ED overcrowding is correlated with discharge time, whereas discharge time is correlated with bed availability in inpatient unit. The inpatient unit in hospital has several classes where the low-class of room tends to have more bed than the high-class of room that can be correlated to the length of stay (LOS). Purpose: The aim of this study was to analyze the admission time, discharge time and patient discharge type with LOS in Yellow Zone of ED. Method: The study consisted of 133 respondents. This was an analytical observational study with cross sectional design. Admission time, discharge time and patient discharge type was analyzed using Eta test. Results: The bivariate results identified the correlation between independent variables with the LOS of patient in Yellow Zone of ED. In Eta test, could be categorized to have a significant correlation if F count was more than F table. Conclusion: There was a significant correlation between the admission time, discharge time and patients discharge type with LOS of patients in the Yellow Zone of ED.
Keywords:
Emergency Departments, Length of Stay, Admission Time, Discharge Time, Patients Discharge TypeDownloads
References
Bashkin, O., Caspi, S., Haligoa, R., Mizrahi, S. & Stalnikowicz, R. (2015). Organizational factors affecting length of stay in the emergency department: Initial observational study. Israel Journal of Health Policy Research, 4(1), pp 1-7.
Chaou, C. H., Chiu, T. F., Yen, A. M. F., Ng, C. J., & Chen, H. H. (2016). Analyzing Factors Affecting Emergency Department Length of Stay-Using a Competing Risk-Accelerated Failure Time Model. Medicine (United States), 95(14).
da Silva, S.A., Valácio, R.A., Botelho, F.C. & Amaral, C.F.S. (2014). Reasons for discharge delays in teaching hospitals. Revista de Saude Publica, 48(2), pp 314-321.
Ahsan, A., Deviantony, F. & Setyoadi, S. (2017). Analysis Of The Associated Factors Of Boarding Time In Yellow Zone Patients In Emergency Department. Jurnal Ners, 12(2), pp 261-266.
El-Eid, G.R., Kaddoum, R., Tamim, H. & Hitti, E.A. (2015). Improving Hospital Discharge Time. Medicine (Baltimore), 94(12), pp 633.
Talleshi, Z., Hosseininejad, S.M., Khatir, G., Bozorghi, F., Gorji, A.M. & Gorji, M.A. (2014). The effect of new emergency program on patient length of stay in a teaching hospital emergency department of Tehran. Nigerian Medical Journal, 55(2), pp 134-138.
Hosseininejad, S.M., Aminiahidashti, H., Pashaei, S.M., Khatir, I.G., Montazer, S.H., Bozorgi, F. & Mahmoudi, F. (2017). Determinants of Prolonged Length of Stay in the Emergency Department; a Cross-sectional Study. Emergency, 5(1), pp 53.
Johns, K., Smith, S., Karreman, E. & Kastelic, A. (2017). P067: Factors associated with prolonged length of stay of admitted patients in a tertiary care emergency department. Canadian Journal of Emergency Medicine, 19(S1), pp 101.
Liu, Y., Phillips, M. & Codde, J. (2001). Factors influencing patients’ length of stay. Australian Health Review : A Publication of the Australian Hospital Association, 24(2), pp 63-70.
Rabin, E., Kocher, K., McClelland, M., Pines, J., Hwang, U., Rathlev, N., Asplin, B., Trueger, N.S. & Weber, E. (2012). Solutions to emergency department “boarding” and crowding are underused and may need to be legislated. Health Affairs (Project Hope), 31(8), pp 1757-1766.
Salway, R., Valenzuela, R., Shoenberger, J., Mallon, W. & Viccellio, A. (2017). Emergency Department (ED) Overcrowding: Evidence-Based Answers to Frequently Asked Questions. Revista Médica Clínica Las Condes, 28(2), pp 213-219.
Wertheimer, B., Jacobs, R.E.A., Iturrate, E., Bailey, M. & Hochman, K. (2015). Discharge before noon: Effect on throughput and sustainability. Journal of Hospital Medicine, 10(10), pp 664-669.
White, H.L. & Glazier, R.H. (2011). Do hospitalist physicians improve the quality of inpatient care delivery? A systematic review of process, efficiency and outcome measures. BMC Medicine, 9, pp 1-22.
