Analysis of factors influencing length of stay in the Emergency Department in public hospital, Yogyakarta, Indonesia
Analysis of factors influencing length of stay in the Emergency Department in public hospital, Yogyakarta, Indonesia
复制标题
DOI：
10.1016/j.auec.2019.06.001
复制
发表时间：
2019-09-01
影响因子：
1.8
通讯作者：
Rasmussen, Philippa
中科院分区：
文献类型：
--
作者：
Kusumawati, Happy, I;Magarey, Judy;Rasmussen, Philippa
背景：急诊护理需求的增加可能会导致急诊科住院时间延长，从而影响护理质量。在印度尼西亚，影响急诊科住院时间的因素很难确定。本研究旨在找出影响在印尼日惹三级医院住院时间的因素。方法：采用横断面回顾设计进行描述性研究。研究对象(n=139)为连续7天以上到三级医院急诊科就诊的18岁或以上患者。通过使用改进的数据收集工具查看患者的笔记并通过测量急诊科患者旅程的每个阶段的平均时间来收集数据。采用Mann-Whitney和Kruskal-Wallis检验进行统计学分析。结果：急诊科住院时间中位数为330分钟。视力水平、专家会诊和入院需求与急诊科住院时间的增加有关(p<；0.05)。实验室周转时间(中位数58分钟)和床位等待时间(中位数167分钟)分别导致出院患者和住院患者的住院时间延长。结论：本研究有助于了解对急诊科住院时间影响最大的因素，并将为决策者制定战略计划以改善急诊科患者流量提供信息。(C)2019年澳大利亚急救护理学院。爱思唯尔有限公司出版。保留所有权利。
Backgrounds: The increasing demand for emergency care may cause prolonged Emergency Department length of stay that has an impact on quality of care. In Indonesia, factors influencing Emergency Department length of stay are difficult to determine. The purpose of the study was to identify factors that contributed to length of stay at tertiary hospital Yogyakarta, Indonesia.Methods: A descriptive study was conducted with a cross-sectional, retrospective design. Participants (n = 139) were patients aged 18 years or over who presented to Emergency Department at tertiary hospital, over seven consecutive days. Data were gathered by reviewing patients' notes using modified data collection tool and by measuring the average time in each stage of Emergency Department patient journey. Mann-Whitney and Kruskal-Wallis tests were utilised to analyse data.Results: The median Emergency Department length of stay was 330 min. The acuity level, specialist consultation and need for admission were associated with increased Emergency Department length of stay (p < 0.05). Laboratory turn around time (median 58 min) and waiting for bed availability (median 167 min) contributed to prolonged length of stay, for discharged and admitted patients, respectively.Conclusions: This study assists in understanding factors that most significantly influence Emergency Department length of stay in an Indonesian hospital and will inform policy makers in development of strategic plans to improve Emergency Department patient flow. (C) 2019 College of Emergency Nursing Australasia. Published by Elsevier Ltd. All rights reserved.