A study on the impact of prioritising emergency department arrivals on the patient waiting time

2018 ◽  
Vol 22 (4) ◽  
pp. 589-614 ◽  
Author(s):  
Ellen Van Bockstal ◽  
Broos Maenhout
Keyword(s):  
Emergency Department ◽  
Waiting Time ◽  
Patient Waiting Time ◽  
The Impact ◽  
Patient Waiting

The impact of adding clinical assistants on patient waiting time in a crowded emergency department

2012 ◽  
Vol 30 (12) ◽  
pp. 1017-1019 ◽  
Author(s):  
Edward Pei-Chuan Huang ◽  
Sot Shih-Hung Liu ◽  
Cheng-Chung Fang ◽  
Hao-Chang Chou ◽  
Chih-Hung Wang ◽  
...  
Keyword(s):  
Emergency Department ◽  
Waiting Time ◽  
Patient Waiting Time ◽  
The Impact ◽  
Patient Waiting

scholarly journals The Impact of Longer Consultation Time: A Simulation-Based Approach

2020 ◽  
Vol 11 (05) ◽  
pp. 857-864
Author(s):  
Abdulrahman M. Jabour
Keyword(s):  
Waiting Time ◽  
Quality Care ◽  
Working Hours ◽  
Discrete Events ◽  
Simulation Based ◽  
Patient Waiting Time ◽  
Free Environment ◽  
The Impact ◽  
Consultation Time ◽  
Patient Waiting

Abstract Background Maintaining a sufficient consultation length in primary health care (PHC) is a fundamental part of providing quality care that results in patient safety and satisfaction. Many facilities have limited capacity and increasing consultation time could result in a longer waiting time for patients and longer working hours for physicians. The use of simulation can be practical for quantifying the impact of workflow scenarios and guide the decision-making. Objective To examine the impact of increasing consultation time on patient waiting time and physician working hours. Methods Using discrete events simulation, we modeled the existing workflow and tested five different scenarios with a longer consultation time. In each scenario, we examined the impact of consultation time on patient waiting time, physician hours, and rate of staff utilization. Results At baseline scenarios (5-minute consultation time), the average waiting time was 9.87 minutes and gradually increased to 89.93 minutes in scenario five (10 minutes consultation time). However, the impact of increasing consultation time on patients waiting time did not impact all patients evenly where patients who arrive later tend to wait longer. Scenarios with a longer consultation time were more sensitive to the patients' order of arrival than those with a shorter consultation time. Conclusion By using simulation, we assessed the impact of increasing the consultation time in a risk-free environment. The increase in patients waiting time was somewhat gradual, and patients who arrive later in the day are more likely to wait longer than those who arrive earlier in the day. Increasing consultation time was more sensitive to the patients' order of arrival than those with a shorter consultation time.

A stochastic model to minimize patient waiting time in an emergency department

2018 ◽  
Vol 18 ◽  
pp. 16-25 ◽  
Author(s):  
Dorsaf Daldoul ◽  
Issam Nouaouri ◽  
Hanen Bouchriha ◽  
Hamid Allaoui
Keyword(s):  
Emergency Department ◽  
Stochastic Model ◽  
Waiting Time ◽  
Patient Waiting Time ◽  
Patient Waiting

Minimizing patient waiting time in emergency department of public hospital using simulation optimization approach

2017 ◽  
Author(s):  
Ireen Munira Ibrahim ◽  
Choong-Yeun Liong ◽  
Sakhinah Abu Bakar ◽  
Norazura Ahmad ◽  
Ahmad Farid Najmuddin
Keyword(s):  
Emergency Department ◽  
Waiting Time ◽  
Public Hospital ◽  
Simulation Optimization ◽  
Optimization Approach ◽  
Patient Waiting Time ◽  
Patient Waiting

The Impact of Lean Management Implementation on Waiting Time and Satisfaction of Patients and Staff at an Outpatient Pharmacy of a Comprehensive Cancer Center in Jordan

2020 ◽  
pp. 001857872095414
Author(s):  
Suzan Hammoudeh ◽  
Abdullah Amireh ◽  
Saad Jaddoua ◽  
Lama Nazer ◽  
Enas Jazairy ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Waiting Time ◽  
Comprehensive Cancer Center ◽  
Cancer Center ◽  
Lean Management ◽  
Pharmacy Staff ◽  
Full Implementation ◽  
Patient Waiting Time ◽  
The Impact ◽  
Patient Waiting

Background: Patient satisfaction with outpatient pharmacy services at our institution was below the target level, due mainly to long waiting times. A lean management strategy to reduce patient waiting time and increase the satisfaction of both patients and staff was developed and implemented. Methods: The project was conducted in the outpatient pharmacy of a comprehensive cancer center in Amman, Jordan. The process started with formation of a multidisciplinary team and A3 problem-solving, which is a 10-step scientific method with measurable patient-centered outcomes. Average patient waiting time and level of patient satisfaction were compared before and after full implementation of the process. In addition, a survey was conducted among the pharmacy staff who worked in the outpatient pharmacy during the process to determine its impact on staff satisfaction. Results: Patient waiting time for prescriptions of fewer than 3 medications and of 3 medications or more decreased significantly (22.3 minutes vs 8.1 minutes, P < .001, and 31.8 minutes vs 16.1 minutes, P < .002, respectively), and patient satisfaction increased (62% vs 69%; P = .005) after full implementation of the project. The majority of the pharmacy staff reported that the process motivated them in their work and that both their jobs and their relationships with their managers and colleagues had improved. Conclusion: Application of lean management in an outpatient pharmacy was effective in reducing patient waiting time and improving the satisfaction of both patients and employees.

scholarly journals Patient Waiting Time in Emergency Department of a Tertiary Level Hospital

2020 ◽  
Vol 38 (2) ◽  
pp. 15-21
Author(s):  
Md Khorshedul Islam ◽  
Mohammed Abu Khair ◽  
Fahmida Khanam
Keyword(s):  
Emergency Department ◽  
Waiting Time ◽  
Rural Areas ◽  
Urban Areas ◽  
Family Income ◽  
Tertiary Level ◽  
Affecting Factors ◽  
Patient Waiting Time ◽  
Level Hospital ◽  
Patient Waiting

Background: Patient waiting time is an important factor of utilizing hospital service, patient satisfaction, quality of management etc. Hence, emergency department (ED) performance can be best assessed by measuring patients’ waiting time and affecting factors at this department. Objective: To determine patient waiting time at ED and associated factors in a tertiary level hospital. Materials and methods: This cross sectional study was conducted in ED of Chattogram Medical College & Hospital (CMCH), Bangladesh. A total of 175 patients or their attendants at ED were enrolled by convenient sampling technique. Data were collected by face- to- face interview with pretested semi-structured questionnaire and observational checklist. Descriptive statistics was used for analysis by MS Excel and SPSS 21st version windows software. Result: Around half (47.40%) was male followed by female (32%) and children (20.6%). Mean (± SD) age of the patients was 33.69 ± 21.33 years. More than half (52.6%) were from rural areas followed by urban areas (47.7%). Average monthly family income was Tk. 23891.43(±13033.76). Mean (±SD) waiting time for collecting ticket, consultation with doctor, physical examination, and nursing services were 8.06(±7.98) minutes, 5.46(±6.95) minutes, 2.30(±1.11) minutes and 8(±6.22) minutes respectively. More than two fifth (41.1%) patients had waiting time within 5 minutes. The ratio of doctor/patient, nurse/patient, ticket provider/patient and trolleys & wheel chairs bearer/patient were 1:115, 1:58, 1:115 and 1:40 respectively. Majority of the patients (57.7%) were transferred to Inpatient Department (IPD). Statistically significant relationship was found between satisfaction on overall management and overall waiting time of ED (χ2 = 22.47, df =6, p=0.001). Conclusion: Majority (48.1%) found satisfied with waiting time at the emergency department. JOPSOM 2019; 38(2): 15-21

scholarly journals Reducing patient waiting time and length of stay in an Acute Care Pediatric Emergency Department

2017 ◽  
Vol 6 (1) ◽  
pp. u212356.w7916 ◽  
Author(s):  
Milfi Al-Onazi ◽  
Ahmed Al Hajri ◽  
Angela Caswell ◽  
Maria Leizl Hugo Villanueva ◽  
Zuhair Mohammed ◽  
...  
Keyword(s):  
Emergency Department ◽  
Length Of Stay ◽  
Acute Care ◽  
Waiting Time ◽  
Pediatric Emergency ◽  
Pediatric Emergency Department ◽  
Patient Waiting Time ◽  
Patient Waiting
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