Quality improvement study in emergency department waiting room times in a private hospital in Kuwait
Background: The emergency department (ED) waiting room duration has been a challenge in many EDs. This study has implemented a focus plan-do-study-act (PDSA) cycle study on ED waiting room patients in a private hospital in Kuwait. Each PDSA cycle included one of the following interventions: hospital...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Discover STM Publishing Ltd
2021-12-01
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| Series: | Saudi Journal of Emergency Medicine |
| Subjects: | |
| Online Access: | http://www.ejmanager.com/fulltextpdf.php?mno=8534 |
| _version_ | 1797788655422537728 |
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| author | Selma Alqattan Aqeel Albraheem Asma Aldahi Aziza Zagloul Regine Intes Mariam Ghanim Hanaa Jahan Aysha John |
| author_facet | Selma Alqattan Aqeel Albraheem Asma Aldahi Aziza Zagloul Regine Intes Mariam Ghanim Hanaa Jahan Aysha John |
| author_sort | Selma Alqattan |
| collection | DOAJ |
| description | Background: The emergency department (ED) waiting room duration has been a challenge in many EDs. This study has implemented a focus plan-do-study-act (PDSA) cycle study on ED waiting room patients in a private hospital in Kuwait. Each PDSA cycle included one of the following interventions: hospitality measures, number of triage nurses, number of ED physicians, and number of receptionists to see their impact on the ED waiting times.
Methods: The waiting times were collected per patient coming into the ED and their assigned Canadian Triage Acuity Scale (CTAS) level over a 12-month period, as well as the number of patients left without being seen (LWBS). Each intervention was introduced into the ED and a 2-month period following each was given to see the effect on the waiting time.
Results: As divided per CTAS level, there were 38,157 patients included in the analysis. The results showed that for every increase in one triage nurse, there was a reduction of 15.09, 20.7, and 20.8 minutes for CTAS 3, 4, and 5 patients, respectively, and for every increase in one doctor there was a reduction in the total ED waiting room time of 11.4, 10.0, and 8.6 minutes for CTAS 3, 4, and 5 patients, respectively, keeping all other variables constant. These quality parameters reduced the LWBS from 6.1% to 2.5%.
Conclusion: This study concluded that increasing triage nurses and ED physicians successfully reduces total ED waiting room times and reduces the number of patients LWBS. [SJEMed 2021; 2(2.000): 117-124] |
| first_indexed | 2024-03-13T01:39:36Z |
| format | Article |
| id | doaj.art-32248b26ac544892b285c0f40c547bd3 |
| institution | Directory Open Access Journal |
| issn | 1658-8487 |
| language | English |
| last_indexed | 2024-03-13T01:39:36Z |
| publishDate | 2021-12-01 |
| publisher | Discover STM Publishing Ltd |
| record_format | Article |
| series | Saudi Journal of Emergency Medicine |
| spelling | doaj.art-32248b26ac544892b285c0f40c547bd32023-07-03T16:11:41ZengDiscover STM Publishing LtdSaudi Journal of Emergency Medicine1658-84872021-12-012211712410.24911/SJEMed/72-16060584918534Quality improvement study in emergency department waiting room times in a private hospital in KuwaitSelma Alqattan0Aqeel Albraheem1Asma Aldahi2Aziza Zagloul3Regine Intes4Mariam Ghanim5Hanaa Jahan6Aysha John7Emergency Medicine Department, Taiba Hospital, Sabah Al-Salem, Kuwait Emergency Medicine Department, Mubarak Alkabeer Hospital, Jabriya, Kuwait Emergency Medicine Department, Taiba Hospital, Sabah Al-Salem, Kuwait Emergency Medicine Department, Taiba Hospital, Sabah Al-Salem, Kuwait Emergency Medicine Department, Taiba Hospital, Sabah Al-Salem, Kuwait Emergency Medicine Department, Taiba Hospital, Sabah Al-Salem, Kuwait Emergency Medicine Department, Taiba Hospital, Sabah Al-Salem, Kuwait Emergency Medicine Department, Taiba Hospital, Sabah Al-Salem, Kuwait.Background: The emergency department (ED) waiting room duration has been a challenge in many EDs. This study has implemented a focus plan-do-study-act (PDSA) cycle study on ED waiting room patients in a private hospital in Kuwait. Each PDSA cycle included one of the following interventions: hospitality measures, number of triage nurses, number of ED physicians, and number of receptionists to see their impact on the ED waiting times. Methods: The waiting times were collected per patient coming into the ED and their assigned Canadian Triage Acuity Scale (CTAS) level over a 12-month period, as well as the number of patients left without being seen (LWBS). Each intervention was introduced into the ED and a 2-month period following each was given to see the effect on the waiting time. Results: As divided per CTAS level, there were 38,157 patients included in the analysis. The results showed that for every increase in one triage nurse, there was a reduction of 15.09, 20.7, and 20.8 minutes for CTAS 3, 4, and 5 patients, respectively, and for every increase in one doctor there was a reduction in the total ED waiting room time of 11.4, 10.0, and 8.6 minutes for CTAS 3, 4, and 5 patients, respectively, keeping all other variables constant. These quality parameters reduced the LWBS from 6.1% to 2.5%. Conclusion: This study concluded that increasing triage nurses and ED physicians successfully reduces total ED waiting room times and reduces the number of patients LWBS. [SJEMed 2021; 2(2.000): 117-124]http://www.ejmanager.com/fulltextpdf.php?mno=8534quality improvementemergency departmentwaiting room timesemergency medicinectas |
| spellingShingle | Selma Alqattan Aqeel Albraheem Asma Aldahi Aziza Zagloul Regine Intes Mariam Ghanim Hanaa Jahan Aysha John Quality improvement study in emergency department waiting room times in a private hospital in Kuwait Saudi Journal of Emergency Medicine quality improvement emergency department waiting room times emergency medicine ctas |
| title | Quality improvement study in emergency department waiting room times in a private hospital in Kuwait |
| title_full | Quality improvement study in emergency department waiting room times in a private hospital in Kuwait |
| title_fullStr | Quality improvement study in emergency department waiting room times in a private hospital in Kuwait |
| title_full_unstemmed | Quality improvement study in emergency department waiting room times in a private hospital in Kuwait |
| title_short | Quality improvement study in emergency department waiting room times in a private hospital in Kuwait |
| title_sort | quality improvement study in emergency department waiting room times in a private hospital in kuwait |
| topic | quality improvement emergency department waiting room times emergency medicine ctas |
| url | http://www.ejmanager.com/fulltextpdf.php?mno=8534 |
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