scholarly journals ANALYSIS OF FACTORS ASSOCIATED WITH BOARDING TIME IN YELLOW ZONE OF EMERGENCY DEPARTMENT AT dr.ISKAK TULUNGAGUNG HOSPITAL

2017 ◽  
Vol 2 (2) ◽  
pp. 109
Author(s):  
Fitrio Deviantony ◽  
Ahsan Ahsan ◽  
Setyoadi Setyoadi
Keyword(s):  
Emergency Department ◽  
Linear Regression ◽  
Observational Research ◽  
Dominant Factor ◽  
Time Of Arrival ◽  
Cross Sectional ◽  
Laboratory Test Results ◽  
Number Of Patients ◽  
Diagnostic Time ◽  
Spearman Test

Patient’s visits in the emergency room (ER) increase in number in every year. The increasing number of hospital visits is directly associated with the increasing number of patients who come to the emergency department. The increased number of patients resulted in the buildup of patients in the ER, especially in the Yellow Zone and causing the boarding time after the inpatient decision was decided to be longer. The purpose of this study was to analyze the problems related to variables that have a correlation with the boarding time of the patient after the decision of hospitalization is decided in the yellow zone of the emergency department at RSUD dr. Iskak Tulungagung. The method of this research was analytic observational research with cross sectional approach. The number of samples was 78 respondents. The sampling technique used nonprobability sampling. Pearson test and Spearman test were applied to identify the correlation between variables and multivariate linear regression test was used to find out the most dominant factor in influencing patient boarding time after the decision of hospitalization was made. The result of bivariate test showed the correlation between boarding time with room preparation time (p = 0.000), laboratory test results (p = 0.000), diagnostic time (p = 0.000), and ratio between nurse and patient (p = 0.000). Boarding time was not correlated with time of arrival (p = 0.263) and insurance coverage (p = 0.980). Multivariate analysis with linear regression obtained result of constant value (B = 681.212), ratio between nurse and patient (p= 0.000; B = -861.011), bed occupancy time (p= 0.000; B =0.620) and diagnostic time (p=0.022; B = 2.636). The implication of this research is to get a formula that able to shorten patient boarding time after the decision of hospitalization was made and can give a standart time for boarding time.

scholarly journals Analysis of the Associated Factors of Boarding Time in Yellow Zone Patients in Emergency Department

Jurnal NERS ◽  
2017 ◽  
Vol 12 (2) ◽  
pp. 261
Author(s):  
Ahsan Ahsan ◽  
Fitrio Deviantony ◽  
Setyoadi Setyoadi
Keyword(s):  
Emergency Department ◽  
Linear Regression ◽  
Emergency Room ◽  
Service Management ◽  
Dominant Factor ◽  
Bivariate Analysis ◽  
Transfer Time ◽  
Coverage Ratio ◽  
Number Of Patients ◽  
Diagnostic Time

Introduction: Patient’s visits to the emergency room increase in number every year. The increasing number of hospital visits is directly associated with the increasing number of patients who wait in the emergency department. The yellow zone is a part of the emergency room that has become a place for the most increased patients to enter. This situation causes boarding time patient longer than usual. The aim of this research was to analyse the various factors that have been associated with boarding time in the yellow zone emergency department. Methods: This research was an analytic observational study with a cross-sectional approach. The number of samples was 78 respondents who were recruited with a non-probability sampling technique. The univariate and bivariate analysis was utilized to test the relationship between the variables. A further statistical test was conducted with linear regression to understand the most dominant factor. Results: The results showed a significant relationship between transfer time, laboratory turnaround time, diagnostic time, time arrival, insurance coverage, ratio nurse and patient and boarding time. Furthermore, multivariate analysis with linear regression showed a significant association between transfer time, laboratory turns around, and the ratio of nurses to patients with the boarding time. Conclusions: The findings from this study show that patient boarding time in the yellow zone should consider several factors. This research provides the output of the initial data as one of the basic considerations for service management and team minimum service standards in hospitals.

scholarly journals ANALISIS FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PELAKSANAAN KOMUNIKASI TERAPEUTIK PERAWAT DI IPCU RSJ Dr. RADJIMAN WEDIODININGRAT LAWANG

2017 ◽  
Vol 3 (2) ◽  
Author(s):  
Adi Suyitno ◽  
Titin Andri Wihastuti ◽  
Lilik Supriati
Keyword(s):  
Emotional Intelligence ◽  
Psychiatric Care ◽  
Observational Research ◽  
Dominant Factor ◽  
P Value ◽  
Knowledge Level ◽  
Therapeutic Communication ◽  
Cross Sectional ◽  
Multivariate Test ◽  
Spearman Test

Abstract :The nurse is the primary healthcare provider in the hospital and has an important role in the health service for the patient. Patients who come to the Intensive Psychiatric Care Unit (IPCU) generally exhibit various symptoms of behavioral problems, such as violent behavior, other injurious tendencies, agitation, and attempted suicide, requires the nurse to make a strict 24-hour observation.The aims of this research was to analyze various factors that have associated with implementation of therapeutic communication in IPCU RSJ Dr.Radjiman WediodiningratLawang. This research was an analytic observational research with cross sectional approach. Population in this research is all of IPCU nurses (Camar, Perkutut and mawar ward) 43 respondent.The number of samples is 40 respondents. To know the description of each variable used univariate analysis, to know the relationship between variables used Spearman test when the data is normally distributed and spearman and to know the most dominant factor in affecting implementation of therapeutic communication is used multivariate test of linear regression. The result of bivariate test shows p value as follows: nurse knowledge level (p = 0,004), nurse perception (p = 0,123), nurse emotional intelligence (p = 0,015), nurse age (p = 0,227), Nurse education (p = 0,351), if this value has been lower than 0,05 then this variabel has significan relations with dependen variabel. The results of multivariate test has shown that knowledge level has becae a most influence factors that affect the implementation of therapeutic communication. There was a significant correlation between nurse emotional intelegence and levels of knowledge with implementation of therapeutic communication in IPCU RSJ Dr. Radjiman Wediodiningrat LawangKeyword : knowledge, perception, emotional intelligence, age, education, implementation of therapeutic communicationAbstrak : Perawat merupakan tenaga kesehatan utama di rumah sakit dan memiliki peranan penting dalam pelayanan kesehatan kepada pasien. Pasien yang datang di Intensive Psychiatric Care Unit (IPCU) umumnya menunjukkan berbagai gejala masalah perilaku, seperti perilaku kekerasan, kecenderungan mencederai orang lain, agitasi, dan percobaan bunuh diri sehingga menuntut perawat untuk melakukan observasi ketat selama 24 jam. Melakukan analisis faktor internal yang berhubungan dengan pelaksanaan komunikasi terapeutik perawat di IPCU RSJ Dr. Radjiman Wediodiningrat Lawang. Penelitian ini observasion alanalitik dengan pendekatan cross sectional. Populasi dalam penelitian ini adalah semua perawat IPCU (Ruang Camar, Perkutut dan Mawar) yang berjumlah 43 orang dengan jumlah sampel 40 orang. Untuk mengetahui hubungan antar variabel digunakan uji spearman dan untuk mengetahui faktor yang paling dominan dengan pelaksanaan komunikasi terapeutik digunakan uji multivariate regresi linier. Hasil uji bivariat menunjukkan p value sebagai berikut : tingkat pengetahuan perawat (p=0,004), persepsi perawat (p=0,123), kecerdasan emosi perawat (p=0,015), usiaperawat (p=0,227), pendidikan perawat (p=0,351), dimana hubungan dikatakan bermakna apabila p<0,05. analisis multivariat dengan regresi linier diperoleh hasil bahwa tingkat pengetahuan merupakan faktor yang paling dominan dengan nilai p (0,004) dengan nilai r = 0,300 yang artinya variable ini memiliki keeratan hubungan yang sedang. Terdapat hubungan yang bermakna antara pengetahuan dan kecerdasan emosi perawat dengan pelaksanaan komunikasi terapeutik pada perawat di IPCU RSJ Dr. Radjiman Wediodiningrat Lawang. Kata Kunci : pengetahuan, persepsi, kecerdasan emosi, usia, pendidikan perawat, pelaksanaan komunikasi terapeutik

Development and Performance Assessment of a Digital Serious Game to Assess Multi-Patient Care Skills in a Simulated Pediatric Emergency Department

2020 ◽  
Vol 51 (4) ◽  
pp. 550-570
Author(s):  
Cindy Luu ◽  
Thomas B. Talbot ◽  
Cha Chi Fung ◽  
Eyal Ben-Isaac ◽  
Juan Espinoza ◽  
...  
Keyword(s):  
Emergency Department ◽  
Diagnostic Accuracy ◽  
Patient Care ◽  
Skill Acquisition ◽  
Video Game ◽  
Rank Correlation ◽  
Fixed Time ◽  
Serious Game ◽  
Cross Sectional ◽  
Number Of Patients

Objective. Multi-patient care is important among medical trainees in an emergency department (ED). While resident efficiency is a typically measured metric, multi-patient care involves both efficiency and diagnostic / treatment accuracy. Multi-patient care ability is difficult to assess, though simulation is a potential alternative. Our objective was to generate validity evidence for a serious game in assessing multi-patient care skills among a variety of learners. Methods. This was a cross-sectional validation study using a digital serious game VitalSignsTM simulating multi-patient care within a pediatric ED. Subjects completed 5 virtual “shifts,” triaging, stabilizing, and discharging or admitting patients within a fixed time period; patients arrived at cascading intervals with pre-programmed deterioration if neglected. Predictor variables included generic multi-tasking ability, video game experience, medical knowledge, and clinical efficiency with real patients. Outcome metrics in 3 domains measured diagnostic accuracy (i.e. critical orders, diagnoses), efficiency (i.e. number of patients, time-to-order) and critical thinking (number of differential diagnoses); MANOVA determined differences between novice learners and expected expert physicians. Spearman Rank correlation determined associations between levels of expertise. Results. Ninety-five subjects’ gameplays were analyzed. Diagnostic accuracy and efficiency distinguished skill level between residency trained (residents, fellows and attendings) and pre-residency trained (medical students and undergraduate) subjects, particularly for critical orders, patients seen, and correct diagnoses (p < 0.003). There were moderate to strong correlations between the game’s diagnostic accuracy and efficiency metrics compared to level of training, including patients seen (rho = 0.47, p < 0.001); critical orders (rho = 0.80, p < 0.001); time-to-order (rho = −0.24, p = 0.025); and correct diagnoses (rho = 0.69, p < 0.001). Video game experience also correlated with patients seen (rho = 0.24, p = 0.003). Conclusion. A digital serious game depicting a busy virtual ED can distinguish between expected experts in multi-patient care at the pre- vs. post-residency level. Further study can focus on whether the game appropriately assesses skill acquisition during residency.

scholarly journals COVID-19 Pandemic Impact on Emergency Department Visits and Quality of Service: A Comparative Cross-Sectional Study in a Tertiary Centre

2021 ◽  
pp. 471-483
Author(s):  
Maram Mohammed Jaboua ◽  
Warif Jameel Abdulhaq ◽  
Nada Saeed Almuntashiri ◽  
Sarah Saud Almohammdi ◽  
Asayel Qeblan Aldajani ◽  
...  
Keyword(s):  
Emergency Department ◽  
Cross Sectional Study ◽  
Emergency Department Visits ◽  
Critical Conditions ◽  
Sectional Study ◽  
Cross Sectional ◽  
Coronary Syndrome ◽  
Number Of Patients ◽  
Ed Visits

Background: The COVID-19 pandemic has contributed to a devastating impact on emergency departments worldwide, resulting in a global crisis with various health consequences. We aimed to evaluate this impact on an emergency department (ED) visit of critical conditions such as Acute Coronary Syndrome (ACS), Cerebrovascular accident (CVA), Sepsis and Febrile neutropenia (FN), and to assess the quality of the ED after new adaptive measures were applied. Methods: This is a comparative cross-sectional study to assess the number of patients who presented to the ED of King Abdullah Medical city with the specified diagnosis. We collected data via the E-medical records. We compared the data over three periods pre-lockdown, lockdown and post lockdown in years 2019-2021. For quality measurement, Adaa (Ministry of Health's program) was used to calculate the percentage of patients who stayed 4 hours or less in the ED. Results: The total number of ED visits in the specified periods of study was 8387. The total numbers of patients for 2019, 2020, and 2020 respectively were 2011 (, ACS 70.4%, CVA 16.3%, sepsis and FN 13.3%.), 2733 (ACS 73.1%, CVA 9.9%, sepsis and FN 17.0%), and 3643 (ACS 64.0%, CVA 19.4%, sepsis and FN 16.7). The average percentage of patients who stayed 4 hours or less in the ED was 60% and 57.5% for 2020 and 2021, respectively. Conclusion: Although we expected reductions in ED visits during COVID-19 periods, we found that visits were rising through the years 2019-2021.

Waktu Penggunaan Depo Medroxy Progesterone Acetate terhadap Peningkatan Indeks Massa Tubuh (IMT) Ibu di Puskesmas Talise Kota Palu

2019 ◽  
Vol 13 (2) ◽  
pp. 76
Author(s):  
Hadina Hadina ◽  
Kartini Kartini ◽  
Putri Nurul Sakinah
Keyword(s):  
Linear Regression ◽  
Health Center ◽  
Sampling Technique ◽  
Strong Relationship ◽  
Observational Research ◽  
P Value ◽  
Childbearing Age ◽  
Cross Sectional ◽  
Bivariate Data ◽  
Central Sulawesi

Depo medroxy progesterone acetate (DMPA) can cause an increase in Body Mass Index (BMI). The purpose of this study was to determine the effect of the use of depro medroxy progesterone acetate on increasing IMT. Observational research design with cross sectional approach. The study was conducted at the Talise Health Center in Palu, Mantikulore District, Palu, Central Sulawesi, on July 0-31, 2017. The population was all women of childbearing age who had 3 months of injecting birth control with a population of 84 acceptors. Using the Slovin formula, a sample size of 69 was obtained. Sampling with a purposive sampling technique. The research instrument used questionnaires and weight scales. Univariate and bivariate data analysis. Correlation analysis and simple linear regression showed the influence of the time of use of DMPA contraception to increase BMI has a significant relationship p-value <0.05 with a correlation coefficient of 0.513 with a strong relationship, and the t value of 4.886 is greater than t table of 1.996 this means that the time DPMA use has an effect on weight gain. The linear regression equation obtained is Y = -0,984 + 0,259.X. From this study it can be concluded that the use of DPMA contraception affects the increase in maternal IMT at Talise Health Center. It is recommended for midwives to be able to provide counselors to acceptors about the side effects of contraception, so that acceptors are more selective in choosing contraception

Prisoners seeking healthcare in emergency department

2020 ◽  
pp. 1-15
Author(s):  
Bedriye Muge Sonmez ◽  
Fevzi Yilmaz ◽  
Murat Dogan Iscanli ◽  
Cihat Yel ◽  
Ali Demir ◽  
...  
Keyword(s):  
Emergency Department ◽  
Healthcare Facility ◽  
Cross Sectional Study ◽  
Medical Group ◽  
Cross Sectional ◽  
Medical Disorders ◽  
Number Of Patients ◽  
Tertiary Healthcare ◽  
Training And Research ◽  
Surgical Conditions

Abstract Objectives: To evaluate inmate referrals to emergency department of a tertiary healthcare facility in terms of demographical and clinical characteristics as well as their impact on the department. Method: The retrospective cross-sectional study was conducted at Ankara Numune Training and Research Hospital, Ankara, Turkey, and comprised data of incarcerated patients who were brought to the emergency department from January 01, 2010, to December 31, 2012. . Demographical characteristics, consultations, duration of hospitalisation, recurrent admissions, disposal and mortality rates were noted. The referrals were grouped as surgical conditions, medical disorders, Eye, Ear, Nose, Throat problems, injury and psychiatric disorders. The groups were then subdivided according to diagnosis. SPSS 22 was used for data analysis. Results: Of the 856 patients, 804(93.4%) were men and 52(6.1%) were women. The overall mean age was 37.54±14.81 years (range: 15-83 years). The number of patients was the highest in the medical group 363(42.4%) and the lowest in the Eye, Ear, Nose, Throat group 56(6.5%). Mean age of the surgical group was significantly lower than the medical group (p<0.001) but significantly higher than that of the trauma group (p=0.001). Conclusion: Functional emergency response units, strict emergency triage of inmates, and their rapid care and management in jails can help avoid referring these patients to already overcrowded emergency departments. Key Words: Prisoners, Healthcare, Emergency department.

UTILIZATION OF EMERGENCY DEPARTMENT, UKM MEDICAL CENTRE: PATTERN OF PATIENT

2016 ◽  
Vol 78 (4-4) ◽  
Author(s):  
Wan Malissa Wan Mohd Aminuddin ◽  
Wan Rosmanira Ismail ◽  
Husyairi Harunarashid ◽  
Raymond Azman Ali ◽  
Ismail Mohd Saiboon ◽  
...  
Keyword(s):  
Emergency Department ◽  
Census Data ◽  
Early Morning ◽  
Cross Sectional Study ◽  
Huge Number ◽  
Cross Sectional ◽  
Number Of Patients ◽  
Ed Overcrowding ◽  
Critical Patients

An emergency department (ED) is a front door for a hospital where a huge number of patients visit the department to seek immediate treatment. This has led to ED overcrowding. A cross sectional study was conducted to determine the pattern of patients attending the ED in a public teaching hospital in Malaysia. 2013 daily census data contained 66,603 patients were used. In this study, 62.1% of ED attendances are non-critical case. They commonly utilized the ED in the early morning, during weekends, and early part of the week. In conclusion, non-critical patients are seen to be the most frequent ED users. They are commonly present at the ED with minor problems. Hence, ED management should implement various solving methods in order to educate such people regarding the real functions of an ED.

scholarly journals BOARDING TIME AND PATIENT SATISFACTION AT THE EMERGENCY DEPARTMENT

2019 ◽  
Vol 7 (2) ◽  
pp. 7
Author(s):  
Uswatun Hasanah ◽  
Nurul Jannatul Firdausi
Keyword(s):  
Emergency Department ◽  
Patient Satisfaction ◽  
General Hospital ◽  
Simple Random Sampling ◽  
Observational Research ◽  
Chi Square ◽  
Cross Sectional ◽  
Average Patient ◽  
Almost All

Background: Delays of inpatient transfer from the Emergency Department (ED) will affect delayed care, overcrowd at ED, and patient’s disappointment. Such patient transfer delay from the Emergency Departement (ED) also occurs at Haji General Hospital, Surabaya.Aims: This study analyzed the relationship  between inpatient boarding time from Emergency Departement (ED) and patient satisfaction at Haji General Hospital, Surabaya.Methods: This was an observational research using a cross-sectional approach. The population was 980 ED patients who decided to be hospitalized. Out of 980 ED patients, the study only involved 83 respondents selected by simple random sampling. The instruments used were observational sheet and questionnaires to collect data which were then analyzed with a chi-square test.Results: Average boarding time was 142 minutes 25 seconds (minimum = 60 minutes; maximum = 290 minutes). Almost all respondents (81.3%) were satisfied about fast boarding time. Inpatient boarding time at the Emergency Departement (ED) was significantly related to patient satisfaction (p = 0.058 <α = 0.1). The faster inpatients move to ED, the more satisfied they are.Conclusion: The average patient boarding time from the Emergency Departement (ED) to Inpatient Unit was slow. Respondents were satisfied with the quality of services even though patient boarding time was slow. The hospital should pay more attention to evaluate the minimal standard of boarding time, ensure the availability of beds,  and improve the quality of facilities and services to enhance patient satisfaction. Keywords: Boarding time, Emergency Department, Inpatient, Satisfaction.

scholarly journals Comparing oculomotor efficiency and visual attention between drivers and non-drivers through the Adult Developmental Eye Movement (ADEM) test: A visual-verbal test

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0246606
Author(s):  
Andrés Gené-Sampedro ◽  
Francisco Alonso ◽  
Celia Sánchez-Ramos ◽  
Sergio A. Useche
Keyword(s):  
Linear Regression ◽  
Eye Movement ◽  
Test Performance ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Driving Experience ◽  
Academic Level ◽  
Perceived Difficulty ◽  
Verbal Test ◽  
Spearman Test

Objective The objective of this study was to assess and compare drivers’ and non-drivers’ outcomes in the Adult Developmental Eye Movement test (ADEM), a visual-verbal test that measures the time needed to read series of numbers in both a vertical and horizontal reading pattern. A set of driving parameters (i.e., experience, risk exposure, and day and night perceived difficulty) and demographic variables (i.e., age, gender, and academic level) were considered as potential predictors of the test performance. Methods For this cross-sectional study, 302 healthy subjects (age range 20 to 86 years old) completed a self-reported questionnaire aimed at retrieving data on the independent variables, and underwent the ADEM in order to obtain the dependent outcomes. 214 (70.9%) of the participants were drivers. Non-parametric analyses and multilevel linear regression were used to assess differences between the variables and a prediction model. Also, some correlations were evaluated through the Spearman test. Results Drivers showed significantly better test performance than non-drivers. The age, driving experience, and perceived difficulty in driving at night were obtained as potential predictors of the test performance with the applied linear regression model. Conclusion The ADEM may be a practical, non-expensive, easy-to-apply tool in the assessment of drivers, useful for obtaining or renewing the driving license. This test may help in the detection of impairments in the saccadic efficiency that could have a detrimental effect on the driving performance.

scholarly journals GCS AS PREDICTOR LENGTH OF STAY THE MILD HEAD INJURY PATIENTS IN PIRNGADI GENERAL HOSPITAL MEDAN

2018 ◽  
Vol 2 (2) ◽  
pp. 280
Author(s):  
Normi Parida Sipayung ◽  
Henny Syapitri
Keyword(s):  
Emergency Department ◽  
Head Injury ◽  
Length Of Stay ◽  
General Hospital ◽  
Primary Data ◽  
Mild Head Injury ◽  
Cross Sectional ◽  
Early Management ◽  
Injury Patient ◽  
Spearman Test

Introduction. Early management of head injury patient in Emergency Department will affect the outcome and Length of Stay mild head injury patient in the hospital. The research aimed to analyze GCS as predictor factors associated Length of Stay patient in the hospital. Methods. This study was correlational analytic approach with cross sectional. Technique sampling in this study used purposive sampling. The number of samples used 41 patient were taken from the primary data which doing the observations on the mild head injury patients who come to emergency department from April until June 2014 at Pirngadi General Hospital Medan. Data was collected by observation and questionnaire. Result. The results of the analysis used Spearman test showed that there was correlation between GCS with Length of Stay of mild head injury patients p 0.00, r -0,637. Discussion. Higher value of GCS So length of stay a mild head injury patients in Pirngadi General Hospital Medan also shorter .Keywords: Mild head injury, outcome head injury, predictor Length of Stay, Emergency Department

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