Araştırma Makalesi
BibTex RIS Kaynak Göster
Yıl 2019, , 349 - 353, 31.12.2019
https://doi.org/10.16899/jcm.625417

Öz

Kaynakça

  • 1. McHale P, Wood S, Hughes K, Bellis MA, Demnitz U, Wyke S. Who uses emergency departments inappropriately and when - a national cross-sectional study using a monitoring data system. BMC medicine. 2013;11:258.
  • 2. Hoot NR, Aronsky D. Systematic review of emergency department crowding: causes, effects, and solutions. Annals of emergency medicine. 2008;52(2):126-36.
  • 3. Akkaya EG, Bulut M, Akkaya C. The factors affecting the level of patients' satisfaction of the applicants for emergency service/Acil servise basvuran hastalarin memnuniyetini etkileyen faktorler. Turkish Journal of Emergency Medicine. 2012;12(2):62-9.
  • 4. Stone R. Acute abdominal pain. Lippincott's primary care practice. 1998;2(4):341-57.
  • 5. McCarthy ML, Zeger SL, Ding R, Levin SR, Desmond JS, Lee J, et al. Crowding delays treatment and lengthens emergency department length of stay, even among high-acuity patients. Annals of emergency medicine. 2009;54(4):492-503.e4.
  • 6. Rathlev NK, Chessare J, Olshaker J, Obendorfer D, Mehta SD, Rothenhaus T, et al. Time series analysis of variables associated with daily mean emergency department length of stay. Annals of emergency medicine. 2007;49(3):265-71.
  • 7. Trzeciak S, Rivers EP. Emergency department overcrowding in the United States: an emerging threat to patient safety and public health. Emergency medicine journal : EMJ. 2003;20(5):402-5.
  • 8. Pines JM, Hilton JA, Weber EJ, Alkemade AJ, Al Shabanah H, Anderson PD, et al. International perspectives on emergency department crowding. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 2011;18(12):1358-70.
  • 9. 2018 [Available from: https://www.saglik.gov.tr/TR,11321/yatakli-saglik-tesislerinde-acil-servis-hizmetlerinin-uygulama-usul-ve-esaslari-hakkinda-teblig.html.10. Yakar Ş. Acil Serviste Hastaneye Yatış için Bekleyen Hastaların İncelenmesi. [Uzmanlık Tezi]. In press 2015.
  • 11. Oldenburg WA, Lau LL, Rodenberg TJ, Edmonds HJ, Burger CD. Acute mesenteric ischemia: a clinical review. Archives of internal medicine. 2004;164(10):1054-62.
  • 12. Karakaya Z, Gokel Y, Acikalin A, Karakaya O. [Evaluation of the process and effectiveness of consultation system in the Department of Emergency Medicine]. Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES. 2009;15(3):210-6.
  • 13. Dönmez SS, Durak VA, TORUN G, KÖKSAL Ö, AYDIN Ş. Acil Serviste Gerçekleştirilen Konsültasyon Sürecinin İncelenmesi. Uludağ Üniversitesi Tıp Fakültesi Dergisi. 2017;43(1):23-8.
  • 14. Kılıçaslan İ, Bozan H, Oktay C, Göksu E. Türkiye’de acil servise başvuran hastaların demografik özellikleri. Türkiye Acil Tıp Dergisi. 2005;5(1):5-13.
  • 15. AYDIN O. Acil Servisten Genel Cerrahiye Konsulte Edilen Olguların Tanısal Analizi. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi. 2014;16(3):1-3.

An Investigation of Waiting Times of Patients Admitted to the General Surgery Clinic from an Emergency Department

Yıl 2019, , 349 - 353, 31.12.2019
https://doi.org/10.16899/jcm.625417

Öz

Abstract

Background/Aims:The study aimed to determine the waiting times of the
patients admitted to the general surgery clinic from an emergency department
and to investigate the effectiveness of services.

Methods:1564 patients over the age
of 18 admitted to the General Surgery Clinic from the emergency department of Health
University BursaTraining and Research Hospital between 01.01.2018 and
31.12.2018 were included. Age, gender, admission and waiting times, the
diagnoses, and surgical history or hospitalization were retrospectively
analyzed. The difference between the admission time to the emergency department
and the admission time to the general surgery clinic was accepted as waiting
time.

Results:56% of the patients (n: 876) were male and the
mean age was 49.9. The mean waiting time in the emergency department was 440.85
minutes and the mean hospital stay was 4.67 days. The minimum waiting time was in
abdominal trauma (249.49 min) whereas the longest waiting time was in
mesenteric ischemia (732.27 min) in the emergency department.

Conclusions: We believe that having a separate and senior
team in emergency services of work-intensive departments such as general
surgery will contribute to shortening waiting times and providing faster and
more effective health care.





Kaynakça

  • 1. McHale P, Wood S, Hughes K, Bellis MA, Demnitz U, Wyke S. Who uses emergency departments inappropriately and when - a national cross-sectional study using a monitoring data system. BMC medicine. 2013;11:258.
  • 2. Hoot NR, Aronsky D. Systematic review of emergency department crowding: causes, effects, and solutions. Annals of emergency medicine. 2008;52(2):126-36.
  • 3. Akkaya EG, Bulut M, Akkaya C. The factors affecting the level of patients' satisfaction of the applicants for emergency service/Acil servise basvuran hastalarin memnuniyetini etkileyen faktorler. Turkish Journal of Emergency Medicine. 2012;12(2):62-9.
  • 4. Stone R. Acute abdominal pain. Lippincott's primary care practice. 1998;2(4):341-57.
  • 5. McCarthy ML, Zeger SL, Ding R, Levin SR, Desmond JS, Lee J, et al. Crowding delays treatment and lengthens emergency department length of stay, even among high-acuity patients. Annals of emergency medicine. 2009;54(4):492-503.e4.
  • 6. Rathlev NK, Chessare J, Olshaker J, Obendorfer D, Mehta SD, Rothenhaus T, et al. Time series analysis of variables associated with daily mean emergency department length of stay. Annals of emergency medicine. 2007;49(3):265-71.
  • 7. Trzeciak S, Rivers EP. Emergency department overcrowding in the United States: an emerging threat to patient safety and public health. Emergency medicine journal : EMJ. 2003;20(5):402-5.
  • 8. Pines JM, Hilton JA, Weber EJ, Alkemade AJ, Al Shabanah H, Anderson PD, et al. International perspectives on emergency department crowding. Academic emergency medicine : official journal of the Society for Academic Emergency Medicine. 2011;18(12):1358-70.
  • 9. 2018 [Available from: https://www.saglik.gov.tr/TR,11321/yatakli-saglik-tesislerinde-acil-servis-hizmetlerinin-uygulama-usul-ve-esaslari-hakkinda-teblig.html.10. Yakar Ş. Acil Serviste Hastaneye Yatış için Bekleyen Hastaların İncelenmesi. [Uzmanlık Tezi]. In press 2015.
  • 11. Oldenburg WA, Lau LL, Rodenberg TJ, Edmonds HJ, Burger CD. Acute mesenteric ischemia: a clinical review. Archives of internal medicine. 2004;164(10):1054-62.
  • 12. Karakaya Z, Gokel Y, Acikalin A, Karakaya O. [Evaluation of the process and effectiveness of consultation system in the Department of Emergency Medicine]. Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES. 2009;15(3):210-6.
  • 13. Dönmez SS, Durak VA, TORUN G, KÖKSAL Ö, AYDIN Ş. Acil Serviste Gerçekleştirilen Konsültasyon Sürecinin İncelenmesi. Uludağ Üniversitesi Tıp Fakültesi Dergisi. 2017;43(1):23-8.
  • 14. Kılıçaslan İ, Bozan H, Oktay C, Göksu E. Türkiye’de acil servise başvuran hastaların demografik özellikleri. Türkiye Acil Tıp Dergisi. 2005;5(1):5-13.
  • 15. AYDIN O. Acil Servisten Genel Cerrahiye Konsulte Edilen Olguların Tanısal Analizi. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi. 2014;16(3):1-3.
Toplam 14 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Orjinal Araştırma
Yazarlar

Melih Yüksel 0000-0002-0793-3693

Halil Kaya 0000-0003-2005-6100

Faruk Çavdar Bu kişi benim 0000-0002-3684-3101

Suna Eraybar Atmaca 0000-0003-4306-9262

Yeşim İşler 0000-0002-6389-5361

Yayımlanma Tarihi 31 Aralık 2019
Kabul Tarihi 3 Aralık 2019
Yayımlandığı Sayı Yıl 2019

Kaynak Göster

AMA Yüksel M, Kaya H, Çavdar F, Eraybar Atmaca S, İşler Y. An Investigation of Waiting Times of Patients Admitted to the General Surgery Clinic from an Emergency Department. J Contemp Med. Aralık 2019;9(4):349-353. doi:10.16899/jcm.625417