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Arrival time pattern and waiting time distribution of patients in the emergency outpatient department of a tertiary level health care institution of North India.

Tiwari Y, Goel S, Singh A - J Emerg Trauma Shock (2014)

Bottom Line: The challenges of overcrowded EDs and ill-managed patient flow and admission processes result in excessively long waits for patients.Around 71% patients were waiting due to reasons within emergency complex.The patient flow of the ED could only be addressed by multifaceted, multidisciplinary and hospital wide approach.

View Article: PubMed Central - PubMed

Affiliation: School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

ABSTRACT

Background: Emergency Department (ED) of tertiary health care institute in India is mostly overcrowded, over utilized and inappropriately staffed. The challenges of overcrowded EDs and ill-managed patient flow and admission processes result in excessively long waits for patients.

Aim: The objective of the present study was to analyze the patient flow system by assessing the arrival and waiting time distribution of patients in an Emergency out Patient Department (EOPD).

Materials and methods: This short cross-sectional descriptive study was conducted in the EOPD of a Tertiary level health care Institution in North India in the month of May, 2011. The data was obtained from 591 patients, who were present in the EOPD during the month of May, 2011. The waiting time, inter arrival time between two consecutive patients were calculated in addition to the daily census data (discharge rate, admission rate and transfer out rates etc.) of the emergency.

Results: Arrival time pattern of patients in the EOPD was highly stochastic with the peak arrival hours to be 9.00-12.00 h in which around 26.3% patients arrived in the EOPD. The primary waiting areas of patients included patients under observation (29.6%); waiting for routine diagnostic tests (16.4%) and waiting for discharge (14.6%). Around 71% patients were waiting due to reasons within emergency complex.

Conclusion: The patient flow of the ED could only be addressed by multifaceted, multidisciplinary and hospital wide approach.

No MeSH data available.


Arrival time pattern of patients in the emergency out patient department of study institute
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Figure 2: Arrival time pattern of patients in the emergency out patient department of study institute

Mentions: Arrival time pattern of patients showed that around 26.3% patients came during the 9.00-12.00 h. Peak hour of the presentation was 10.01-11.00 with 11% of the total presentations. The maximum inter-arrival gap (46 min) was observed during 6.01-7.00 h [Figure 2].


Arrival time pattern and waiting time distribution of patients in the emergency outpatient department of a tertiary level health care institution of North India.

Tiwari Y, Goel S, Singh A - J Emerg Trauma Shock (2014)

Arrival time pattern of patients in the emergency out patient department of study institute
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4126114&req=5

Figure 2: Arrival time pattern of patients in the emergency out patient department of study institute
Mentions: Arrival time pattern of patients showed that around 26.3% patients came during the 9.00-12.00 h. Peak hour of the presentation was 10.01-11.00 with 11% of the total presentations. The maximum inter-arrival gap (46 min) was observed during 6.01-7.00 h [Figure 2].

Bottom Line: The challenges of overcrowded EDs and ill-managed patient flow and admission processes result in excessively long waits for patients.Around 71% patients were waiting due to reasons within emergency complex.The patient flow of the ED could only be addressed by multifaceted, multidisciplinary and hospital wide approach.

View Article: PubMed Central - PubMed

Affiliation: School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

ABSTRACT

Background: Emergency Department (ED) of tertiary health care institute in India is mostly overcrowded, over utilized and inappropriately staffed. The challenges of overcrowded EDs and ill-managed patient flow and admission processes result in excessively long waits for patients.

Aim: The objective of the present study was to analyze the patient flow system by assessing the arrival and waiting time distribution of patients in an Emergency out Patient Department (EOPD).

Materials and methods: This short cross-sectional descriptive study was conducted in the EOPD of a Tertiary level health care Institution in North India in the month of May, 2011. The data was obtained from 591 patients, who were present in the EOPD during the month of May, 2011. The waiting time, inter arrival time between two consecutive patients were calculated in addition to the daily census data (discharge rate, admission rate and transfer out rates etc.) of the emergency.

Results: Arrival time pattern of patients in the EOPD was highly stochastic with the peak arrival hours to be 9.00-12.00 h in which around 26.3% patients arrived in the EOPD. The primary waiting areas of patients included patients under observation (29.6%); waiting for routine diagnostic tests (16.4%) and waiting for discharge (14.6%). Around 71% patients were waiting due to reasons within emergency complex.

Conclusion: The patient flow of the ED could only be addressed by multifaceted, multidisciplinary and hospital wide approach.

No MeSH data available.