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

Ahsan Ahsan, Fitrio Deviantony, Setyoadi Setyoadi

= http://dx.doi.org/10.20473/jn.v12i2.6521
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Abstract


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.

Conclusion: 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.


Keywords


boarding time; emergency department; yellow zone

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References


Australian College for Emergency Medicine (2015) Specialist emergency medicine workforce and training activities 2014. Melbourne: Australian College for Emergency Medicine.

Bashkin, O., Caspi, S., Haligoa, R., Mizrahi, S. and Stalnikowicz, R. (2015) ‘Organizational Factors affecting length of stay in the emergency department: initial observational study’, Israel journal of health policy research. BioMed Central, 4(1), p. 38.

Boyle, J., Jessup, M., Crilly, J., Green, D., Lind, J., Wallis, M., Miller, P. and Fitzgerald, G. (2012) ‘Predicting emergency department admissions’, Emerg Med J. BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine, 29(5), pp. 358–365.

Dinkes Provinsi Jatim (2015) Profil kesehatan Provinsi Jawa Timur Tahun 2014. Surabaya: Dinkes Provinsi Jatim.

Ducharme J, Tanabe P, Homel P, Miner JR, Chang AK, Lee J & Todd KH. (2008). The influence of triage systems and triage scores on timeliness of ED analgesic administration. American Journal of Emergency Medicine, 26 (8), 867-873.

Geelhoed, G. C. and de Klerk, N. H. (2012) ‘Emergency department overcrowding, mortality and the 4-hour rule in Western Australia’, The Medical Journal of Australia, 196(2), pp. 122–126.

Hawkins, R. C. (2007) ‘Laboratory turnaround time’, The Clinical Biochemist Reviews. The Australian Association of Clinical Biochemists, 28(4), p. 179.

Hodgins, M. J., Moore, N. and Legere, L. (2011) ‘Who is sleeping in our beds? Factors predicting the ED boarding of admitted patients for more than 2 hours’, Journal of Emergency Nursing. Elsevier, 37(3), pp. 225–230.

Kennedy, J., Rhodes, K., Walls, C. A. and Asplin, B. R. (2004) ‘Access to emergency care: restricted by long waiting times and cost and coverage concerns’, Annals of emergency medicine. Elsevier, 43(5), pp. 567–573.

Lo, S. M., Choi, K. T. Y., Wong, E. M. L., Lee, L. L. Y., Yeung, R. S. D., Chan, J. T. S. and Chair, S. Y. (2014) ‘Effectiveness of Emergency Medicine Wards in reducing length of stay and overcrowding in emergency departments’, International emergency nursing. Elsevier, 22(2), pp. 116–120.

MoH (2015) ‘Data dan Informasi Tahun 2014 (Profil Kesehatan Indonesia) [Data and Information in 2014 (Health Profile of Indonesia)]’. Edited by P. D. dan I. Kemenkes. Jakarta: Kemenkes.

Powell, E. S., Khare, R. K., Venkatesh, A. K., Van Roo, B. D., Adams,

J. G. and Reinhardt, G. (2012) ‘The relationship between inpatient discharge timing and emergency department boarding’, The Journal of emergency medicine. Elsevier, 42(2), pp. 186–196.

Rabin, E., Kocher, K., McClelland, M., Pines, J., Hwang, U., Rathlev, N., Asplin, B., Trueger, N. S. and Weber, E. (2012) ‘Solutions to emergency department “boarding”and crowding are underused and may need to be legislated’, Health Affairs. Health Affairs, 31(8), pp. 1757–1766.

Sastroasmoro, S. and Ismael, S. (2011) Dasar-dasar metodologi penelitian klinis. Sagung Seto, Edisi 4. ISBN 978-602-8674-54-6.

Singer AJ, Thode HC, Viccellio P & Pines JM. (2011). The association between length of emergency department boarding and mortality. Academic Emergency Medicine, 18 (12), 1324-1329.

Steindel, S. J. and Howanitz, P. J. (2001) ‘Physician satisfaction and emergency department laboratory test turnaround time: observations based on College of American Pathologists Q-Probes studies’, Archives of pathology & laboratory medicine, 125(7), pp. 863–871.

Wiler, J. L., Handel, D. A., Ginde, A. A., Aronsky, D., Genes, N. G., Hackman, J. L., Hilton, J. A., Hwang, U., Kamali, M. and Pines, J. M. (2012) ‘Predictors of patient length of stay in 9 emergency departments’, The American journal of emergency medicine. Elsevier, 30(9), pp. 1860–1864.

Zarea, K., Beiranvand, S., Sheini-Jaberi, P. and Nikbakht-Nasrabadi, A. (2014) ‘Disaster nursing in Iran: Challenges and opportunities’, Australasian emergency nursing journal. Elsevier, 17(4), pp. 190–196.


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