Volume 23, Issue 3 (11-2024)
jhosp 2024, 23(3): 352-373 |
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Rasekhi S, Tabatabaei Far S S, Jafari A. A Review of Patient Waiting Time and Its Determinants in Emergency Departments in Iran. jhosp 2024; 23 (3) :352-373
URL: http://jhosp.tums.ac.ir/article-1-6712-en.html
URL: http://jhosp.tums.ac.ir/article-1-6712-en.html
1- Bachelor of Healthcare Services Management, Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
2- PhD Candidate of Healthcare Services Management, Student Research Committee, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
3- Assistant Professor of Health Economics, Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. ,abdosaleh.jafari@gmail.com
2- PhD Candidate of Healthcare Services Management, Student Research Committee, School of Health Management and Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran.
3- Assistant Professor of Health Economics, Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran. ,
Abstract: (557 Views)
Background and purpose: The aim of this study was to investigate the waiting time of patients referred to the emergency department and the factors affecting it in the country.
Methods: A search was conducted in the scientific databases PubMed, Science Direct, ProQuest, Scopus, Web of Science, Mag Iran and Civilica with the keywords waiting time, duration, emergency, Iran, etc. The Search period was up to 2024/02/06. After applying the search strategy, 26 studies were included in the study.
Results: The findings of the present review study (rapid review) showed that the average time from patient arrival in the emergency department to the first doctor's visit ranged from about 2 minutes to about 32 minutes, the average time from patient arrival in the emergency department to the first treatment ranged from 3.7 minutes to 262 minutes, the average time from request to the first test result was from 20.17 to 629.2 minutes, the average time from request to the first radiology result was from 5.85 to 1080 minutes, and the average time from request to the first ECG result was from 3.7 to 32.3 minutes. Also, the most important factors affecting the waiting time of patients referred to the emergency department included individual factors related to the patient, reason for referral, factors related to the hospital and emergency department, and factors related to human resources in the emergency department.
Conclusion: This study showed that patients' waiting time in the emergency department depends on various factors. To reduce it, improvements in triage, workforce management, the use of smart technologies, infrastructure enhancement, and patient education are recommended.
Methods: A search was conducted in the scientific databases PubMed, Science Direct, ProQuest, Scopus, Web of Science, Mag Iran and Civilica with the keywords waiting time, duration, emergency, Iran, etc. The Search period was up to 2024/02/06. After applying the search strategy, 26 studies were included in the study.
Results: The findings of the present review study (rapid review) showed that the average time from patient arrival in the emergency department to the first doctor's visit ranged from about 2 minutes to about 32 minutes, the average time from patient arrival in the emergency department to the first treatment ranged from 3.7 minutes to 262 minutes, the average time from request to the first test result was from 20.17 to 629.2 minutes, the average time from request to the first radiology result was from 5.85 to 1080 minutes, and the average time from request to the first ECG result was from 3.7 to 32.3 minutes. Also, the most important factors affecting the waiting time of patients referred to the emergency department included individual factors related to the patient, reason for referral, factors related to the hospital and emergency department, and factors related to human resources in the emergency department.
Conclusion: This study showed that patients' waiting time in the emergency department depends on various factors. To reduce it, improvements in triage, workforce management, the use of smart technologies, infrastructure enhancement, and patient education are recommended.
Type of Study: Review Article |
Subject:
سیاست گذاری ، برنامه ریزی و رهبری و مدیریت در بیمارستان
Received: 2024/12/14 | Accepted: 2025/03/18 | Published: 2025/03/30
Received: 2024/12/14 | Accepted: 2025/03/18 | Published: 2025/03/30
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