EFFECTS OF EMERGENCY DEPARTMENT STRUCTURE ON QUALITY OF CARE IN TAIF HOSPITAL

Main Article Content

Tahani Saddeek
Abdul Hadi Al-Rashidi
Ashraf Baboor
Ahmed Almughais
Faleh Alshammari
Barakah ALNofish
Faris Almalki
Layla Alshammeri
Saleh Alghamdi
Abdullah ALwagdani
Ahmed Alharthi
Bassam Alobaidi
Sahal Aljuaid
AHMED ALNEFAIE
Matla Alotaibi
Yasir Alqurashii
Masoud Al-Swat
Khalid Alkhaldi
Muharab Aljuaid

Keywords

Emergency department structure, quality of care, patient satisfaction, emergency care delivery.

Abstract

In order to determine the level of care that is offered to patients, the structure of an emergency department (ED) is an extremely important factor to consider. According to the findings of this study, the organization of the emergency department at Taif Hospital has an effect on patient happiness, service efficiency, and the effectiveness of treatment. One hundred twenty patients participated in a survey that was designed to be cross-sectional. The data was collected through the use of structured questionnaires, and it was used to evaluate the patients' experiences with wait times, staff responsiveness, communication, facility conditions, and overall satisfaction. Despite the fact that the ED maintained a high level of professionalism and cleanliness, the results show that patient experiences were significantly impacted by issues such as lengthy wait times, insufficient personnel, and inconsistent communication. After doing statistical analysis, it was shown that there were significant relationships between the availability of staff, the promptness of medical attention, and overall satisfaction (p < 0.051). Even though 56.7% of patients reported being satisfied with the overall experience, there is a need for structural adjustments because there are concerns regarding organizational efficiency, the availability of enough medical resources, and patient participation. For the purpose of boosting the delivery of emergency treatment, the study suggests increasing the number of staff members, optimizing workflow processes, and investing in medical equipment that has been significantly updated. In order to improve emergency department services and the results for patients, hospital administrators and policymakers can benefit greatly from the insights provided by these research.

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References

1. Liu, S. W., Singer, S. J., Sun, B. C., & Camargo Jr, C. A. (2011). A conceptual model for assessing quality of care for patients boarding in the emergency department: structure–process–outcome. Academic Emergency Medicine, 18(4), 430-435.‏
2. Wylie, K., Crilly, J., Toloo, G., FitzGerald, G., Burke, J., Williams, G., & Bell, A. (2015). Emergency department models of care in the context of care quality and cost: A systematic review. Emergency Medicine Australasia, 27(2), 95-101.‏
3. Savioli, G., Ceresa, I. F., Gri, N., Bavestrello Piccini, G., Longhitano, Y., Zanza, C., ... & Bressan, M. A. (2022). Emergency department overcrowding: understanding the factors to find corresponding solutions. Journal of personalized medicine, 12(2), 279.‏
4. Kelen, G. D., Wolfe, R., D’Onofrio, G., Mills, A. M., Diercks, D., Stern, S. A., ... & Sokolove, P. E. (2021). Emergency department crowding: the canary in the health care system. NEJM Catalyst Innovations in Care Delivery, 2(5).‏
5. Espinosa, J. A., Case, R., & Kosnik, L. K. (2004). Emergency department structure and operations. Emergency medicine clinics of North America, 22(1), 73-85.‏
6. Graber, T. W. (2004). Structure and function of the emergency department: matching emergency department choices to the emergency department mission. Emergency Medicine Clinics, 22(1), 47-72.‏
7. Liu, S. W., Singer, S. J., Sun, B. C., & Camargo Jr, C. A. (2011). A conceptual model for assessing quality of care for patients boarding in the emergency department: structure–process–outcome. Academic Emergency Medicine, 18(4), 430-435.‏
8. Alessandrini, E., Varadarajan, K., Alpern, E. R., Gorelick, M. H., Shaw, K., Ruddy, R. M., ... & Pediatric Emergency Care Applied Research Network. (2011). Emergency department quality: an analysis of existing pediatric measures. Academic Emergency Medicine, 18(5), 519-526.‏
9. Mehta, R. H., Newby, L. K., Patel, Y., Hoekstra, J. W., Miller, C. D., Chen, A. Y., ... & CRUSADE Investigators. (2006). The impact of emergency department structure and care processes in delivering care for non–ST-segment elevation acute coronary syndromes. American heart journal, 152(4), 648-660.‏
10. Marsden, E. J., Taylor, A., Wallis, M., Craswell, A., Broadbent, M., Johnston-Devin, C., & Crilly, J. (2021). A structure and process evaluation of the Geriatric Emergency Department Intervention model. Australasian emergency care, 24(1), 28-33.‏
11. Brambilla, A., Mangili, S., Das, M., Lal, S., & Capolongo, S. (2022). Analysis of functional layout in emergency departments (ED). Shedding light on the free standing emergency department (FSED) model. Applied Sciences, 12(10), 5099.‏
12. Frank, C., & Elmqvist, C. (2020). Staff strategies for dealing with care situations at an emergency department. Scandinavian journal of caring sciences, 34(4), 1038-1044.‏
13. Schoenenberger, L. K., Bayer, S., Ansah, J. P., Matchar, D. B., Mohanavalli, R. L., Lam, S. S., & Ong, M. E. (2016). Emergency department crowding in Singapore: insights from a systems thinking approach. SAGE open medicine, 4, 2050312116671953.‏
14. Velt, K. B., Cnossen, M., Rood, P. P., Steyerberg, E. W., Polinder, S., & Lingsma, H. F. (2018). Emergency department overcrowding: a survey among European neurotrauma centres. Emergency Medicine Journal, 35(7), 447-448.‏
15. FitzGerald, G., Jelinek, G. A., Scott, D., & Gerdtz, M. F. (2010). Emergency department triage revisited. Emergency Medicine Journal, 27(2), 86-92.‏
16. Biese, K., Lash, T. A., & Kennedy, M. (2022). Emergency department care transition programs—value-based care interventions that need system-level support. JAMA Network Open, 5(5), e2213160-e2213160.‏
17. Kelen, G. D., Wolfe, R., D’Onofrio, G., Mills, A. M., Diercks, D., Stern, S. A., ... & Sokolove, P. E. (2021). Emergency department crowding: the canary in the health care system. NEJM Catalyst Innovations in Care Delivery, 2(5).‏
18. Eriksson‐Liebon, M., Roos, S., & Hellström, I. (2021). Patients’ expectations and experiences of being involved in their own care in the emergency department: A qualitative interview study. Journal of clinical nursing, 30(13-14), 1942-1952.‏
19. Makkink, A. W., Stein, C. O. A., & Bruijns, S. R. (2022). The Prehospital to Emergency Department Hand Over Model (PEDHOM): a conceptual model addressing content, process, and communication in prehospital to Emergency Department handover.‏
20. Schmitz, G. R., Viccellio, P., & Litvak, E. (2023). Emergency Department Crowding after Coronavirus Disease 2019: Time to Change the Hospital Paradigm. Annals of Emergency Medicine, 82(6), 661-663.‏
21. Worth, M. G. (2017). Structure, Process, and Recommendations of Emergency Department Triage in the US. The University of North Carolina at Greensboro.‏
22. Nadarajan, G. D., Omar, E., Abella, B. S., Hoe, P. S., Do Shin, S., Ma, M. H. M., & Ong, M. E. H. (2020). A conceptual framework for Emergency department design in a pandemic. Scandinavian journal of trauma, resuscitation and emergency medicine, 28, 1-13.‏