Wait time in emergency department (ED) processes.
Wait time in emergency department (ED) processes.
复制标题
急诊科 (ED) 流程中的等待时间。
DOI：
10.5455/medarh.2012.66.53-57
复制
发表时间：
2012
期刊：
影响因子：
--
通讯作者：
H. Bagherian
中科院分区：
文献类型：
--
作者：
S. Ajami;S. Ketabi;M. Yarmohammadian;H. Bagherian
介绍
急诊科（艾德）为在意外和事故中受伤的病人提供紧急临床和帕拉临床护理。仿真是一种分析决策过程中风险因素和策略的决策支持技术。
目标
本研究的目的是确定在Ayatolahkashani医院急诊科服务的等待时间，提出减少等待时间的方案。
方法
本研究是一项分析性和横断面研究，通过表格和观察收集数据。人群包括663名患者在两周内与艾德治疗过程沿着诊断部门（例如实验室、放射科、超声检查和C-T扫描）相关的所有站点的等待和服务时间。数据分析采用SPSS软件和模拟技术。
结果
结果显示，增加一名实习生的耳鼻喉科（ENT）服务使最大的减少等待时间从112.19分钟到99.24分钟。在该选项中，耳鼻喉科服务的平均时间将减少到26.54分钟，神经科服务的平均时间将减少到6.58分钟，骨科服务的平均时间将减少到5.98分钟。
结论
艾德的卫生保健管理人员通常是不熟悉管理原则的医生。因此，他们需要简单的工具来进行逻辑决策。模拟等运筹学方法应适合于他们。
INTRODUCTION
Emergency Department (ED) provides urgency clinical and Para clinical care for patients who injured in accidents and incidents. Simulation is one of the decision supporting techniques that analyze risk factors and strategies in decision-making.
GOAL
The aim of this study was to determine the waiting time in emergency department services at Ayatolahkashani Hospital to propose scenarios for reducing waiting time.
METHODS
This study was an analytical and cross-sectional in which data collected by forms and observations. Population included waiting and service time in all stations related to ED's treatment processes along with diagnostic departments (e.g. Laboratory, Radiology, Ultrasonography, and C-T Scan) over a two-week period for 663 patients. For data analysis, SPSS software and simulation technique were used.
RESULTS
Results show that add one intern to the Ear Nose Throat (ENT) service makes the most reduction on the waiting time from 112.19 to 99.24 minutes. In this option the mean of ENT services time will be reduced to 26.54 minutes, neurology services time will be reduced to 6.58 minutes and the mean of orthopedic services time were reduced to 5.98 minutes.
CONCLUSION
Health care managers, in the ED are usually physicians who are not familiar with principals of management. Hence, they need simple tools for logical decision-making. Operation research methods such as simulation should be suitable for them.