The effects of an emergency department length-of-stay management system on severely ill patients’ treatment outcomes
Abstract Purpose This study aimed to compare the length of stay (LOS) and treatment outcomes based on the application and achievement of a newly developed emergency department (ED) LOS management system for severely ill patients. Methods Data were retrospectively collected from electronic medical re...
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | BMC Emergency Medicine |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12873-022-00760-z |
| _version_ | 1811292144305963008 |
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| author | Young Eun Kim Hyang Yuol Lee |
| author_facet | Young Eun Kim Hyang Yuol Lee |
| author_sort | Young Eun Kim |
| collection | DOAJ |
| description | Abstract Purpose This study aimed to compare the length of stay (LOS) and treatment outcomes based on the application and achievement of a newly developed emergency department (ED) LOS management system for severely ill patients. Methods Data were retrospectively collected from electronic medical records (EMRs) for the system evaluation and research purpose. The study subjects are severely ill patients whose diagnosis codes are designated by the Ministry of Health and Welfare and who visited the ED of a tertiary hospital from January to December 2019. The control group (Group 1) refers to those who have neither applied nor achieved the goal (5 hours or less) of the ED LOS management system even after it was applied, and the experimental group (Group 2) refers to those who have achieved the 5-hour goal after applying the system. Results A total of 2034 severely ill patients applied the ED LOS management system. Group 1 included 837 patients and Group 2 included 1197 patients. Thirty days in-hospital mortality corresponded to 10.6% in Group 1 and 6.6% in Group 2 (χ2 = 10.58, p = .001). The total duration of hospitalization was 14.66 ± 18.26 days in Group 1 and 10.19 ± 16.00 days in Group 2 (t = 9.03, p < .001). Six hundred forty-two patients (76.6%) in Group 1 were discharged to their home (normal discharge) and 979 patients (81.7%) were discharged to their home in Group 2, but the discharge-as-death rate was 14.1% in Group 1 and 7.5% in Group 2 (χ2 = 29.80, p < .001). Conclusion With the application and attainment of the ED LOS management system for severely ill patients, we have concluded the new system produced a lower LOS in the ED, 30 days in-hospital mortality, length of the hospitalization, mortality rate, and a higher rate of normal discharge. |
| first_indexed | 2024-04-13T04:40:58Z |
| format | Article |
| id | doaj.art-ebce468f7afe4f5ebc9cba201f8d76d1 |
| institution | Directory Open Access Journal |
| issn | 1471-227X |
| language | English |
| last_indexed | 2024-04-13T04:40:58Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Emergency Medicine |
| spelling | doaj.art-ebce468f7afe4f5ebc9cba201f8d76d12022-12-22T03:02:01ZengBMCBMC Emergency Medicine1471-227X2022-12-0122111110.1186/s12873-022-00760-zThe effects of an emergency department length-of-stay management system on severely ill patients’ treatment outcomesYoung Eun Kim0Hyang Yuol Lee1Department of Emergency Medicine, Seoul St. Mary’s HospitalCollege of Nursing, The Catholic University of KoreaAbstract Purpose This study aimed to compare the length of stay (LOS) and treatment outcomes based on the application and achievement of a newly developed emergency department (ED) LOS management system for severely ill patients. Methods Data were retrospectively collected from electronic medical records (EMRs) for the system evaluation and research purpose. The study subjects are severely ill patients whose diagnosis codes are designated by the Ministry of Health and Welfare and who visited the ED of a tertiary hospital from January to December 2019. The control group (Group 1) refers to those who have neither applied nor achieved the goal (5 hours or less) of the ED LOS management system even after it was applied, and the experimental group (Group 2) refers to those who have achieved the 5-hour goal after applying the system. Results A total of 2034 severely ill patients applied the ED LOS management system. Group 1 included 837 patients and Group 2 included 1197 patients. Thirty days in-hospital mortality corresponded to 10.6% in Group 1 and 6.6% in Group 2 (χ2 = 10.58, p = .001). The total duration of hospitalization was 14.66 ± 18.26 days in Group 1 and 10.19 ± 16.00 days in Group 2 (t = 9.03, p < .001). Six hundred forty-two patients (76.6%) in Group 1 were discharged to their home (normal discharge) and 979 patients (81.7%) were discharged to their home in Group 2, but the discharge-as-death rate was 14.1% in Group 1 and 7.5% in Group 2 (χ2 = 29.80, p < .001). Conclusion With the application and attainment of the ED LOS management system for severely ill patients, we have concluded the new system produced a lower LOS in the ED, 30 days in-hospital mortality, length of the hospitalization, mortality rate, and a higher rate of normal discharge.https://doi.org/10.1186/s12873-022-00760-zEmergency treatmentEmergency medical service communication systemsPatient care managementLength of stayHospitalizationMortality |
| spellingShingle | Young Eun Kim Hyang Yuol Lee The effects of an emergency department length-of-stay management system on severely ill patients’ treatment outcomes BMC Emergency Medicine Emergency treatment Emergency medical service communication systems Patient care management Length of stay Hospitalization Mortality |
| title | The effects of an emergency department length-of-stay management system on severely ill patients’ treatment outcomes |
| title_full | The effects of an emergency department length-of-stay management system on severely ill patients’ treatment outcomes |
| title_fullStr | The effects of an emergency department length-of-stay management system on severely ill patients’ treatment outcomes |
| title_full_unstemmed | The effects of an emergency department length-of-stay management system on severely ill patients’ treatment outcomes |
| title_short | The effects of an emergency department length-of-stay management system on severely ill patients’ treatment outcomes |
| title_sort | effects of an emergency department length of stay management system on severely ill patients treatment outcomes |
| topic | Emergency treatment Emergency medical service communication systems Patient care management Length of stay Hospitalization Mortality |
| url | https://doi.org/10.1186/s12873-022-00760-z |
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