Reasons for Overcrowding in the Emergency Department: Experiences and Suggestions of an Education and Research Hospital

GÜZEL, Murat; KARACA, Alev; CETINKAYA, Halil; BAYDIN, Ahmet; AKBULUT, Sinan; TURKOZ, Burcu; ERENLER, ALİ KEMAL

Reasons for Overcrowding in the Emergency Department: Experiences and Suggestions of an Education and Research Hospital

Ali Kemal ERENLER, (Samsun Eğitim Araştırma Hastanesi, Acil Hizmet Bölümü, Samsun, Türkiye)

Sinan AKBULUT, (Samsun Eğitim Araştırma Hastanesi, Acil Hizmet Bölümü, Samsun, Türkiye)

Murat GÜZEL, (Samsun Eğitim Araştırma Hastanesi, Acil Hizmet Bölümü, Samsun, Türkiye)

Halil CETINKAYA, (Samsun Eğitim Araştırma Hastanesi, Acil Hizmet Bölümü, Samsun, Türkiye)

Alev KARACA, (Samsun Eğitim Araştırma Hastanesi, Acil Hizmet Bölümü, Samsun, Türkiye)

Burcu TURKOZ, (Samsun Eğitim Araştırma Hastanesi, Acil Hizmet Bölümü, Samsun, Türkiye)

Ahmet BAYDIN (Ondokuz Mayıs Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Samsun, Türkiye)

Türkiye Acil Tıp Dergisi

8 2

Yıl: 2014 Cilt: 14 Sayı: 2 Sayfa Aralığı: 59 - 63 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Reasons for Overcrowding in the Emergency Department: Experiences and Suggestions of an Education and Research Hospital

Öz:

Amaç Bu çalışmada, acil serviste aşırı yoğunluğun nedenlerini belirlemeyi ve hastaların acil serviste kalış sürelerini azaltmaya yönelik önerilerimizi sunmayı hedefledik.Gereç ve YöntemBir yıllık sürede acil servise başvuran hastaların tıbbi bilgileri incelendi. Hastaların demografik özellikleri, kalış süreleri, tekrar başvuru sayıları ve konsültasyon durumları belirlendi.Bulgular1 Ocak 2013 ile 31 Aralık 2013 tarihleri arasında toplam 163951 hasta acil servise başvurdu. Bu süre içinde, 1210 hasta 24 saat içerisinde tekrar acile başvurdu. Toplam 38579 hasta tedavisini acil servisin gözlem odasında aldı ve ortalama kalış süresi 164.1 dakikaydı. En fazla konsültasyon istenen bölüm kardiyoloji idi. Konsültanların acil servise varış süresi ortalama 64 dakikaydı.Sonuç Dünyanın diğer bölgelerindeki acil servislere benzer şekilde, acilde aşırı yoğunluğun en önemli nedenleri acil serviste uzun kalış süresi, gecikmiş laboratuvar ve görüntüleme testleri, konsültanların gecikmesi ve yeterli hastane yatağı olmamasıdır. Hataları en aza indirmek ve memnuniyet oranını artırmak için, ilgili farklı birimlerle temas halinde, bazı sert önlemler alınmalıdır.

Anahtar Kelime:

Konular: Cerrahi

Acil Serviste Aşırı Kalabalığın Nedenleri: Bir Eğitim Araştırma Hastanesinin Deneyimleri ve Önerileri

Öz:

ObjectivesIn this study, we aimed to determine the causes of overcrowding in the Emergency Department (ED) and make recommendations to help reduce length of stay (LOS) of patients in the ED.MethodsWe analyzed the medical data of patients admitted to our ER in a one-year period. Demographic characteristics, LOS, revisit frequency, and consultation status of the patients were determined.ResultsA total of 163,951 patients were admitted to our ED between January 1, 2013, and December 31, 2013. In this period 1,210 patients revisited the ED within 24 hours. A total of 38,579 patients had their treatment in the observation room (OR) of the ED and mean LOS was found to be 164.1 minutes. Cardiology was the most frequently consulted specialty. Mean arrival time of the consultants in ED was 64 minutes.ConclusionsSimilar to EDs in other parts of the world, prolonged length of stay in the ED, delayed laboratory and imaging tests, delay of consultants, and lack of sufficient inpatient beds are the most important causes of overcrowding in the ED. Some drastic measures must be taken to minimize errors and increase satisfaction ratio.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ERENLER A, AKBULUT S, GÜZEL M, CETINKAYA H, KARACA A, TURKOZ B, BAYDIN A (2014). Reasons for Overcrowding in the Emergency Department: Experiences and Suggestions of an Education and Research Hospital. , 59 - 63.
Chicago	ERENLER ALİ KEMAL,AKBULUT Sinan,GÜZEL Murat,CETINKAYA Halil,KARACA Alev,TURKOZ Burcu,BAYDIN Ahmet Reasons for Overcrowding in the Emergency Department: Experiences and Suggestions of an Education and Research Hospital. (2014): 59 - 63.
MLA	ERENLER ALİ KEMAL,AKBULUT Sinan,GÜZEL Murat,CETINKAYA Halil,KARACA Alev,TURKOZ Burcu,BAYDIN Ahmet Reasons for Overcrowding in the Emergency Department: Experiences and Suggestions of an Education and Research Hospital. , 2014, ss.59 - 63.
AMA	ERENLER A,AKBULUT S,GÜZEL M,CETINKAYA H,KARACA A,TURKOZ B,BAYDIN A Reasons for Overcrowding in the Emergency Department: Experiences and Suggestions of an Education and Research Hospital. . 2014; 59 - 63.
Vancouver	ERENLER A,AKBULUT S,GÜZEL M,CETINKAYA H,KARACA A,TURKOZ B,BAYDIN A Reasons for Overcrowding in the Emergency Department: Experiences and Suggestions of an Education and Research Hospital. . 2014; 59 - 63.
IEEE	ERENLER A,AKBULUT S,GÜZEL M,CETINKAYA H,KARACA A,TURKOZ B,BAYDIN A "Reasons for Overcrowding in the Emergency Department: Experiences and Suggestions of an Education and Research Hospital." , ss.59 - 63, 2014.
ISNAD	ERENLER, ALİ KEMAL vd. "Reasons for Overcrowding in the Emergency Department: Experiences and Suggestions of an Education and Research Hospital". (2014), 59-63.

APA	ERENLER A, AKBULUT S, GÜZEL M, CETINKAYA H, KARACA A, TURKOZ B, BAYDIN A (2014). Reasons for Overcrowding in the Emergency Department: Experiences and Suggestions of an Education and Research Hospital. Türkiye Acil Tıp Dergisi, 14(2), 59 - 63.
Chicago	ERENLER ALİ KEMAL,AKBULUT Sinan,GÜZEL Murat,CETINKAYA Halil,KARACA Alev,TURKOZ Burcu,BAYDIN Ahmet Reasons for Overcrowding in the Emergency Department: Experiences and Suggestions of an Education and Research Hospital. Türkiye Acil Tıp Dergisi 14, no.2 (2014): 59 - 63.
MLA	ERENLER ALİ KEMAL,AKBULUT Sinan,GÜZEL Murat,CETINKAYA Halil,KARACA Alev,TURKOZ Burcu,BAYDIN Ahmet Reasons for Overcrowding in the Emergency Department: Experiences and Suggestions of an Education and Research Hospital. Türkiye Acil Tıp Dergisi, vol.14, no.2, 2014, ss.59 - 63.
AMA	ERENLER A,AKBULUT S,GÜZEL M,CETINKAYA H,KARACA A,TURKOZ B,BAYDIN A Reasons for Overcrowding in the Emergency Department: Experiences and Suggestions of an Education and Research Hospital. Türkiye Acil Tıp Dergisi. 2014; 14(2): 59 - 63.
Vancouver	ERENLER A,AKBULUT S,GÜZEL M,CETINKAYA H,KARACA A,TURKOZ B,BAYDIN A Reasons for Overcrowding in the Emergency Department: Experiences and Suggestions of an Education and Research Hospital. Türkiye Acil Tıp Dergisi. 2014; 14(2): 59 - 63.
IEEE	ERENLER A,AKBULUT S,GÜZEL M,CETINKAYA H,KARACA A,TURKOZ B,BAYDIN A "Reasons for Overcrowding in the Emergency Department: Experiences and Suggestions of an Education and Research Hospital." Türkiye Acil Tıp Dergisi, 14, ss.59 - 63, 2014.
ISNAD	ERENLER, ALİ KEMAL vd. "Reasons for Overcrowding in the Emergency Department: Experiences and Suggestions of an Education and Research Hospital". Türkiye Acil Tıp Dergisi 14/2 (2014), 59-63.