The effect of 24-hour presence of emergency medicine specialists on the performance of emergency department of Shahid Bahonar hospital, Kerman/Iran, 2013

Amiresmaili, Mohammad Reza; Nekooi Moghadam, Mahmood; Saberi Nia, Amin; Ghorbani Nia, Rahil

The effect of 24-hour presence of emergency medicine specialists on the performance of emergency department of Shahid Bahonar hospital, Kerman/Iran, 2013

Document Type : Original Article

Authors

Mohammad Reza Amiresmaili ¹

Mahmood Nekooi Moghadam ²

Amin Saberi Nia ³

Rahil Ghorbani Nia ⁴

¹ Department of Health Services Administration, Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

² Department of Health Services Administration, Research Center for Health Services Management, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

³ Emergency Medicine Department, School of Medicine, Kerman University of Medical Sciences, Kerman, Iran

⁴ Department of Health Services Administration, Research Center for Modeling in Health, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran

Abstract

Objective: Emergency department is the most important part of a hospital and it seems that 24-hour presence of emergency medicine specialist can be effective in improving the performance of this ward. Therefore, the present study was performed with the aim of studying the effect of 24-hour presence of emergency medicine specialists in the emergency department of Shahid Bahonar hospital, Kerman/Iran.

Methods: In this mixed methods study, data collection was done through studying various related documents and semi-structured interview. Data analysis was performed using descriptive statistics and qualitative content analysis.

Results: The presence of emergency medicine specialists resulted in a decrease in waiting time, hospital’s revenue growth, increase in number of requested laboratory tests, improvement of decision-making for patients and decrease of first 24-hour mortality rate. Economic benefits, improvement of the quality of services and emergency department management were among qualitative results of the present study.

Conclusion: In whole, 24-hour presence of emergency medicine specialists in the emergency department of Kerman Shahid Bahonar hospital has been effective in improving the performance and quality of services.

Keywords

Emergency medicine specialists

Emergency

Hospital

Emergency medicine’s presence

Specialists

Subjects

1. Salluzzo RF, Mayer TA. Emergency department management: principles and applications. St. Louis: Mosby; 1997.

2. Golaghie F, Sarmadian H, Rafiie M, Nejat N. A study on waiting time and length of stay of attendants to emergency department of Vali-e-Asr hospital, Arak-Iran. J Arak Univ Med Sci 2008; 11(2): 74-83. [In Persian]

3. Shaker SH. Investigation of patient’s satisfaction and their relative from Hazrat Rasul hospital’s emergency section. The first national conference of improving the quality of emergency management, Tehran University of Medical Sciences. 2001, Tehran, Iran . [InPersian]

4. Masoomi B. The effect of establishment of emergency medicine in improving the quality of emergency section at Al-zahra hospital [dissertation]. Al-zahra hospital: Isfahan University of Medical Sciences; 2010. [In Persian]

5. Soroush M. Comparison of quality indicators in diagnostic and therapeutic services in emergency sections of Imam khomeini and Dr Shariati hospitals, Tehran University of Medical Sciences, August - September [dissertation]. Tehran University of Medical Sciences; 2008. [In Persian]

6. Suter RE. Emergency medicine in the United States: a systemic review. World J Emerg Med 2012; 3(1): 5-10.

7. Development and educational planning commission. Terms and emergency medicine training program, Vtkhssy Council on Medical Education; 2008.

8. Allahverdi S. The average time to receive emergency care hospital Tehran Ayatollah Kashani 2011 . Tehran:

Specialized media publications; 2011.9. Arnold JL, Holliman CJ. Lessons learned from international emergency medicine development.

Emerg Med Clin North Am 2005; 23(1): 133-47

10. Hosseini M. The importance of bed in the emergency department manager at medical centers. Seventh Annual Congress of Emergency Medicine, 2012. Tehran: Resane publications; 2012.

11. Kathan CD. Emergency physicians in the netherlands: the development and organizational impact of new multidisciplinary professionals in hospitals. University library of Groningen; 2008. Available from: http://dissertations.ub.rug.nl/faculties/feb/2008/c.d.kathan/

12. Richardson LD, Hwang U. Access to care: a review of the emergency medicine literature. Acad Emerg Med 2001; 8(11): 1030–6.

13. Gougole A, Khorgami Z.Investigate the causes and background rejection emergency patients in university hospitals resorting to deception involved in the emergency department. Seventh Annual Congress of Emergency Medicine, 2012. Tehran: Resane publications; 2012. p. 146.

14. Fiscella K, Meldrum S, Barnett S. Hospital discharge against advice aftermyocardial infarction: deaths and readmissions. Am J Med 2007; 120(12): 1047-53.