NHAMCS: Quality of a National Emergency Department-based Information System Questioned

Abstract This study investigated the characteristics of patients with urolithiasis visiting an emergency department based on a national database system in Korea. This study spanned a period of three years from January 1, 2014 to December 31, 2016. A retrospective census was conducted using the National Emergency Department Information System for urolithiasis patients. Patient data, including age, sex, insurance type, emergency department visit date and time, discharge date and time, emergency department treatment result, visit flow, and hospitalization route, were extracted and analyzed. Overall, 103,981, 112,083, and 120,647 patients/year during the 2014–2016 study period visited an emergency department with a diagnosis related to urolithiasis. Total monthly emergency department visits ranged from 35,927 in August (highest) to 24,008 in February. Overall, 13.2% of patients were hospitalized and the hospitalization rate was stable (estimated annual percent change) over the study period. Patients aged <9 years or ≥70 years and those with medical aid had higher hospitalization rates. A higher number of visits occurred in the hot season, on weekends, and in the 6 a.m. and 8 p.m. time slots. This nationwide study revealed that the percentage of patients visiting an emergency department with urolithiasis was higher in August, in the early morning, and at weekends.

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Quality of patient information in emergency department

International Journal of Health Care Quality Assurance ◽

10.1108/ijhcqa-09-2017-0177 ◽

2019 ◽

Vol 32 (1) ◽

pp. 108-119 ◽

Cited By ~ 1

Author(s):

Mehrdad Farzandipour ◽

Mahtab Karami ◽

Mohsen Arbabi ◽

Sakine Abbasi Moghadam

Keyword(s):

Emergency Department ◽

Information System ◽

Patient Information ◽

Hospital Information System ◽

Quality Data ◽

Quality Of Data ◽

Cross Sectional ◽

Content Type ◽

Emergency Patients

Purpose Data comprise one of the key resources currently used in organizations. High-quality data are those that are appropriate for use by the customer. The quality of data is a key factor in determining the level of healthcare in hospitals, and its improvement leads to an improved quality of health and treatment and ultimately increases patient satisfaction. The purpose of this paper is to assess the quality of emergency patients’ information in a hospital information system. Design/methodology/approach This cross-sectional study was conducted on 385 randomly selected records of patients admitted to the emergency department of Shahid Beheshti Hospital in Kashan, Iran, in 2016. Data on five dimensions of quality, including accuracy, accessibility, timeliness, completeness and definition, were collected using a researcher-made checklist and were then analyzed in SPSS. The results are presented using descriptive statistics, such as frequency distribution and percentage. Findings The overall quality of emergency patients’ information in the hospital information system was 86 percent, and the dimensions of quality scored 87.7 percent for accuracy, 86.8 percent for completeness, 83.9 percent for timeliness, 79 percent for definition and 62.1 percent for accessibility. Originality/value Increasing the quality of patient information at emergency departments can lead to improvements in the timely diagnosis and management of diseases and patient and personnel satisfaction, and reduce hospital costs.

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Characteristics of injuries of older adults in Korea by use of the National Emergency Department of Information System and injury surveillance system

Geriatrics and Gerontology International ◽

10.1111/ggi.12750 ◽

2017 ◽

Vol 17 (1) ◽

pp. 173-175 ◽

Cited By ~ 1

Author(s):

Changhyun Kang ◽

Sungmin Myoung ◽

Soon-Young Moon

Keyword(s):

Older Adults ◽

Emergency Department ◽

Information System ◽

Surveillance System ◽

Injury Surveillance ◽

Injury Surveillance System ◽

National Emergency

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Analysis of the Adequacy of Prehospital Emergency Medical Services Use of Patients Who Visited Emergency Departments in Korea from 2016 to 2018: Data from the National Emergency Department Information System

Emergency Medicine International ◽

10.1155/2021/6647149 ◽

2021 ◽

Vol 2021 ◽

pp. 1-10

Author(s):

Sung Joon Park ◽

Jung-Youn Kim ◽

Young-Hoon Yoon ◽

Eu Sun Lee ◽

Hyun-Jin Kim ◽

...

Keyword(s):

Emergency Department ◽

Information System ◽

Emergency Medical Services ◽

Secondary Data ◽

The Other ◽

Limited Resources ◽

Medical Services ◽

Emergency Medical ◽

Prehospital Emergency ◽

National Emergency

Introduction. Proper ambulance use is important not only due to the patient’s transport quality but also because of the need for efficient use of limited resources allotted by the system. Therefore, this study was conducted to check for overuse or underuse of the ambulance system by patients who visited the emergency department (ED). Methods. In this study, a secondary data analysis was conducted using the existing database of the National Emergency Department Information System with all patients who visited EDs over the three-year study period from 2016 to 2018. The study subjects were classified into the following groups: (1) appropriate Emergency Medical Services (EMS) usage; (2) appropriate no EMS usage; (3) underuse; and (4) overuse groups. Results. Of 18,298,535 patients, 11,668,581 (63.77%) were classified under the appropriate usage group, while 6,629,954 (36.23%) were classified under the inappropriate usage group. In the appropriate EMS usage group, there were 2,408,845 (13.16%) patients. In the appropriate no EMS usage group, there were 9,259,706 (50.60%) patients. As for the inappropriate usage group, there were 5,147,352 (28.13%) patients categorized under the underuse group. On the other hand, there were 1,482,602 (8.10%) patients under the overuse group. Conclusion. There are many patients who use ambulances appropriately, but there are still many overuse and underuse. Guidelines on ambulance use are necessary for the efficient use of emergency medical resources and for the safety of patients.

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