Emergency department overcrowding in Turkey: Reasons, facts and solutions

dc.contributor.authorDurmuş Çakır, Oya
dc.contributor.authorEren Çevik, Şebnem
dc.contributor.authorBulut, Mehtap
dc.contributor.authorGüneyses, Özlem
dc.contributor.authorAkköse Aydın, Şule
dc.date.accessioned10.07.201910:49:13
dc.date.accessioned2019-07-10T19:58:40Z
dc.date.available10.07.201910:49:13
dc.date.available2019-07-10T19:58:40Z
dc.date.issued2014
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Acil Tıp Ana Bilim Dalı
dc.descriptionWOS: 000209759400003
dc.descriptionPubMed ID: 26982660
dc.description.abstractIntroduction: The purpose of this study was to determine the factors affecting the long waiting times of the patients in a university hospital. Methods: This study included 3000 of the adults above 18 years and pediatric trauma patients under 18 years who applied to emergency department between February 2009 and April 2009. The examination period of the physician, length of stay, length of hospitalization, waiting times for hospitalization and follow up times in the emergency department were recorded. Moreover, the patients were divided into four groups according to the reasons for waiting. Results: In our study, the time period between 4 pm-12 pm was determined as the busiest time for the applications. Average length of stay in the emergency department for 3000 patients was 146.7 +/- 160.2 minutes. The length of stay for the patients consulted was longer than the length of stay for the ones who were not consulted. Because of the fact that our hospital did not have appropriate bed capacity, 41.1% of the patients waited less than two hours, 13.4% of the patients waited more than 8 hours. It was also found that the waiting times of the Group two patients (206,7 +/- 145,2 minutes) was longer than Group one (95,5 +/- 73,9 minutes) patients and the waiting times of Group three patients (470,7 +/- 364,7 minutes) was longer than Group one patients. Conclusions: In conclusion, cooperation of the managers, relevant departments and a multidisciplinary approach are necessary to achieve the goals to reduce overcrowding in the emergency departments.
dc.identifier.citationDurmuş Çakır, O., Eren Çevik, Ş., Bulut, M., Güneyses, Ö. ve Akköse Aydın, Ş. (2014). Emergency department overcrowding in Turkey: Reasons, facts and solutions. Journal of Nepal Medical Association, 52(195), 878-885. https://dx.doi.org/10.31729/jnma.2708
dc.identifier.doi10.31729/jnma.2708
dc.identifier.endpage885
dc.identifier.issn0028-2715
dc.identifier.issn1815-672X
dc.identifier.issue195
dc.identifier.scopusqualityQ3
dc.identifier.startpage878
dc.identifier.urihttps://dx.doi.org/10.31729/jnma.2708
dc.identifier.urihttps://hdl.handle.net/20.500.12511/3208
dc.identifier.volume52
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherNepal Medical Association
dc.relation.ispartofJournal of Nepal Medical Associationen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial 3.0 Unported*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/3.0/*
dc.subjectBed Capacity
dc.subjectCrowding
dc.subjectEmergency Department
dc.subjectLength of Stay
dc.titleEmergency department overcrowding in Turkey: Reasons, facts and solutions
dc.typeArticle

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