The Investigation of a Tertiary Hospital Emergency Service in terms of Quality Standards
Abstract
Objective: Emergency services (ES) are the units where people first apply when they encounter an emergency and provide uninterrupted service 24 hours a day. The quality of these services is as important as the correct diagnosis and treatment of the patients in emergency services. Quality standards for emergency services (QSES) are the scales used for emergency services to provide quality service. In this study, the compliance status of a tertiary hospital emergency service with QSES was investigated.
Methods: Data of emergency service recorded by the quality unit of a tertiary hospital between 01 January 2018 and 31 December 2018 were retrospectively analyzed.
Results: It was found that a total of 90719 patients (27383 in 1st period, 28634 in the 2nd period, 7930 in the 3rd period, 28572 in the 4th period of 2018) applied to the emergency service in 2018. The patients were kept in the observation room for less than 6 hours, which is the target time for staying of patient. Less than 30 minutes when is the target time of the physician to reach the consultation could not be achieved. Less than 3% which is the target ratio of the patients re-applying to the emergency service within twenty-four hours with the same complaint was achieved. Less than 1% which is the target ratio of the patients sent from the emergency service to another center was achieved. Chi-square test test showed that there was a statistically significant difference between the periods in terms of all indicators (p<0.001).
Conclusion: The hospital's situation regarding QSES was examined and quality targets were mostly met. However, additional measures are required to further improve the quality of the service provided in the emergency service.
Methods: Data of emergency service recorded by the quality unit of a tertiary hospital between 01 January 2018 and 31 December 2018 were retrospectively analyzed.
Results: It was found that a total of 90719 patients (27383 in 1st period, 28634 in the 2nd period, 7930 in the 3rd period, 28572 in the 4th period of 2018) applied to the emergency service in 2018. The patients were kept in the observation room for less than 6 hours, which is the target time for staying of patient. Less than 30 minutes when is the target time of the physician to reach the consultation could not be achieved. Less than 3% which is the target ratio of the patients re-applying to the emergency service within twenty-four hours with the same complaint was achieved. Less than 1% which is the target ratio of the patients sent from the emergency service to another center was achieved. Chi-square test test showed that there was a statistically significant difference between the periods in terms of all indicators (p<0.001).
Conclusion: The hospital's situation regarding QSES was examined and quality targets were mostly met. However, additional measures are required to further improve the quality of the service provided in the emergency service.
Keywords
References
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