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

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

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

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 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

Study of Patient Waiting Time in the Emergence Department: An Example of a Medical Center in New Taipei County, Taiwan

2014 ◽  
Vol 519-520 ◽  
pp. 1581-1584
Author(s):  
Chen Shie Ho ◽  
Min Li Yeh ◽  
Yu Sheng Liao
Keyword(s):  
Emergency Department ◽  
Waiting Time ◽  
Queuing Theory ◽  
Flow Model ◽  
Medical Center ◽  
Waiting Times ◽  
Literature Survey ◽  
Theory Analysis ◽  
Patient Waiting Time ◽  
Patient Waiting

Patients who receive care in an emergency department (ED) are usually unattended while waiting in queues. This study attempted to determine whether the application of queuing theory analysis might shorten the waiting times of patients admitted to emergency wards. After the literature survey phase, the flow model to evaluate the patient waiting time in the emergence department corresponding to the target hospital is presented, then the waiting time under some circumstance are simulated. By allocating the human and space resource dynamically, the waiting time can be reduced then patient satisfaction is improved.

scholarly journals FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN WAITING TIME PADA PASIEN TRIAGE KUNING

2020 ◽  
Vol 4 (1) ◽  
pp. 14-25
Author(s):  
Milda Aprilian Sari ◽  
Susi Erianti ◽  
Erna Marni
Keyword(s):  
Emergency Department ◽  
Laboratory Test ◽  
General Hospital ◽  
Waiting Time ◽  
Check List ◽  
Chi Square ◽  
Cross Sectional ◽  
Factors Associated ◽  
Patient Waiting Time ◽  
Patient Waiting

  Abstrak Waiting time diartikan rentang waktu kedatangan pasien emergency yang diukur mulai dari pasien datang sampai ditransfer keruangan lain. Penumpukan pasien (overcrowded) merupakan masalah yang sering terjadi di Instalasi Gawat Darurat yang dapat menyebabkan waktu tunggu yang lama. Waktu tunggu yang baik dapat meningkatkan mutu pelayanan dan kepuasan yang lebih kepada pasien. Tujuan penelitian ini untuk mengetahui faktor-faktor yang berhubungan dengan waiting time pada pasien triage kuning di IGD RSUD Arifin Achmad Provinsi Riau. Desain yang digunakan dalam penelitian ini adalah observasional analitik dengan pendekatan cross sectional. Sampel dalam penelitian ini adalah pasien yang masuk IGD pada triage kuning dengan teknik pengambilan sampel menggunakan concecutive sampling sebanyak 85 responden. Instrumen penelitian menggunakan lembar observasi dan metode Check List. Hasil  bivariat dengan uji chi-square didapatkan bahwa dari empat faktor yang dianalisa terdapat faktor yang berhubungan dengan waiting time adalah waktu kembalinya hasil pemeriksaan laboratorium. Sedangkan faktor-faktor yang tidak berhubungan dengan waiting time pada pasien triage kuning yaitu rasio perbandingan perawat dengan pasien pershift, sarana prasarana, dan adminstrasi. Diharapkan kepada pihak manajemen RSUD Arifin Achmad Provinsi Riau untuk terus mengontrol performa pelayanan pada pemeriksaan penunjang yaitu waktu tunggu kembalinya hasil pemeriksaan laboratorium agar tidak melebihi standar yang telah ditetapkan oleh rumah sakit sehingga dapat mengurangi waktu boarding pasien yang memanjang.   Kata kunci: Pasien triage kuning, Waiting Time   Factors Associated with Yellow Triage Patients’ Waiting Time   Abstract   Waiting time refers to time span of emergency patients has to spend, starting from patient’s arrival to patient being transferred to another room. Overcrowding is a common problem faced at emergency department causing longer waiting time for patients.  Shorter waiting time can improve quality of service and patients’ level of satisfaction. This study was aimed to determine factors associated with yellow triage patients’ waiting time at emergency department of Arifin Achmad General Hospital of Riau Province. This observational-analytic study was carried out using cross sectional approach. Samples of this study were patients entering Emergency Department with yellow triage category, with 85 respondents who were recruited using consecutive sampling technique. Observation sheet and check list method were used as the study instruments. The result of univariate and bivariate analyses using Chi-square test showed that of all four analyzed factors associated with patient waiting time, the most significantly related one was waiting time for laboratory test results. In contrast, the least related factors were nurse-patient ratio per shift, facilities and infrastructures, and administration procedure. It is expected that the management of Arifin Achmad General Hospital of Riau Province to maintain control of the service performance on supporting examination, especially waiting time for the laboratory test result, which will reduce the amount of patient boarding time which keeps extending.   Keywords: Yellow triage patient, Waiting Time  

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