Effect of new year holidays on hospital mortality: a time series study
Abstract Background Nowruz holidays, as one of the most important holidays in Iran, can lead to changes in the trend of hospital deaths. Due to changes in lifestyle and increased accidents, hospitals become crowded during the holidays. The present study aimed to investigate the effect of Nowruz holi...
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| Format: | Article |
| Language: | English |
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BMC
2019-08-01
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| Series: | International Journal of Emergency Medicine |
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| Online Access: | http://link.springer.com/article/10.1186/s12245-019-0243-x |
| _version_ | 1828962588130541568 |
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| author | Mohadeseh Ghanbari Jahromi Reza Goudarzi Vahid Yazdi-Feyzabadi Saeed Amini Javad Nazari Mohammadreza Amiresmaili |
| author_facet | Mohadeseh Ghanbari Jahromi Reza Goudarzi Vahid Yazdi-Feyzabadi Saeed Amini Javad Nazari Mohammadreza Amiresmaili |
| author_sort | Mohadeseh Ghanbari Jahromi |
| collection | DOAJ |
| description | Abstract Background Nowruz holidays, as one of the most important holidays in Iran, can lead to changes in the trend of hospital deaths. Due to changes in lifestyle and increased accidents, hospitals become crowded during the holidays. The present study aimed to investigate the effect of Nowruz holidays on hospital deaths at teaching hospitals affiliated with the Kerman University of Medical Sciences in southeast Iran. Methods The research population included all hospital deaths during the period from 23 August 2013 to 21 September 2016. Data on hospital deaths, including age, sex, work shift, cause of death and ward type were collected daily from the Hospital Information System. Data were analysed using t test and time series regression models, in Stata 13.0. Results The holiday deaths primarily occurred in males (57.14%) and people aged 60–79 years (29.20%). More than half of the holiday deaths occurred in the morning shift (59.88%). The leading cause of holiday deaths was injuries, poisoning and other consequences of external causes (25.31%). Most holiday deaths occurred in the ICU (53.88%). Death rate per day during the Nowruz holidays was higher than it was during working days and non-Nowruz holidays (1.36%). Conclusions Reduced quality of services during the holidays is a prominent issue and leads to increased hospital death. Hospital managers can improve the quality of services, by identifying the root causes and by taking measures such as increased and balanced distribution of human resources, equipping hospitals and improving supervision during holidays. |
| first_indexed | 2024-12-14T10:08:32Z |
| format | Article |
| id | doaj.art-5da2a3e496014b7382653e213275f6b4 |
| institution | Directory Open Access Journal |
| issn | 1865-1372 1865-1380 |
| language | English |
| last_indexed | 2024-12-14T10:08:32Z |
| publishDate | 2019-08-01 |
| publisher | BMC |
| record_format | Article |
| series | International Journal of Emergency Medicine |
| spelling | doaj.art-5da2a3e496014b7382653e213275f6b42022-12-21T23:07:05ZengBMCInternational Journal of Emergency Medicine1865-13721865-13802019-08-011211710.1186/s12245-019-0243-xEffect of new year holidays on hospital mortality: a time series studyMohadeseh Ghanbari Jahromi0Reza Goudarzi1Vahid Yazdi-Feyzabadi2Saeed Amini3Javad Nazari4Mohammadreza Amiresmaili5Department of Health Management, Policy and Economics, School of Management and Medical Informatics, Kerman University of Medical SciencesModeling in Health Research Center, Institute for Futures Studies in Health, Kerman University of Medical SciencesHealth Services Management Research Center, Institute for Futures Studies in Health, Kerman University of Medical SciencesDepartment of Health Services Management, School of Health, Arak University of Medical SciencesDepartment of Pediatrics, School of Medicine, Arak University of Medical SciencesDepartment of Health Management, Policy and Economics, School of Management and Medical Informatics, Kerman University of Medical SciencesAbstract Background Nowruz holidays, as one of the most important holidays in Iran, can lead to changes in the trend of hospital deaths. Due to changes in lifestyle and increased accidents, hospitals become crowded during the holidays. The present study aimed to investigate the effect of Nowruz holidays on hospital deaths at teaching hospitals affiliated with the Kerman University of Medical Sciences in southeast Iran. Methods The research population included all hospital deaths during the period from 23 August 2013 to 21 September 2016. Data on hospital deaths, including age, sex, work shift, cause of death and ward type were collected daily from the Hospital Information System. Data were analysed using t test and time series regression models, in Stata 13.0. Results The holiday deaths primarily occurred in males (57.14%) and people aged 60–79 years (29.20%). More than half of the holiday deaths occurred in the morning shift (59.88%). The leading cause of holiday deaths was injuries, poisoning and other consequences of external causes (25.31%). Most holiday deaths occurred in the ICU (53.88%). Death rate per day during the Nowruz holidays was higher than it was during working days and non-Nowruz holidays (1.36%). Conclusions Reduced quality of services during the holidays is a prominent issue and leads to increased hospital death. Hospital managers can improve the quality of services, by identifying the root causes and by taking measures such as increased and balanced distribution of human resources, equipping hospitals and improving supervision during holidays.http://link.springer.com/article/10.1186/s12245-019-0243-xNowruz holidaysHospital mortalityTime seriesIran |
| spellingShingle | Mohadeseh Ghanbari Jahromi Reza Goudarzi Vahid Yazdi-Feyzabadi Saeed Amini Javad Nazari Mohammadreza Amiresmaili Effect of new year holidays on hospital mortality: a time series study International Journal of Emergency Medicine Nowruz holidays Hospital mortality Time series Iran |
| title | Effect of new year holidays on hospital mortality: a time series study |
| title_full | Effect of new year holidays on hospital mortality: a time series study |
| title_fullStr | Effect of new year holidays on hospital mortality: a time series study |
| title_full_unstemmed | Effect of new year holidays on hospital mortality: a time series study |
| title_short | Effect of new year holidays on hospital mortality: a time series study |
| title_sort | effect of new year holidays on hospital mortality a time series study |
| topic | Nowruz holidays Hospital mortality Time series Iran |
| url | http://link.springer.com/article/10.1186/s12245-019-0243-x |
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