Comparison of emergency department services of two hospitals based on accreditation standards

Abstract

Introduction: Presenting services with high quality in emergency department has its significant due to its specific conditions. Prerequisite of presenting effective health services is to evaluate and compare them with predetermined standards. According to the importance of hospital's emergency in increasing patients' satisfaction and improving clinical services' quality, this survey has been done with aim of analysis the emergency department of Noor and Ali Asghar hospitals according to new format of accreditation standards. Materials and Methods: This survey is a descriptive research which has been done in Noor and Ali Asghar Hospital, in Isfahan and in 2011. The research tool for gathering information is a checklist which has been prepared from the emergency standards of health, therapy, and medical education. Data has been gathered from related documents and corporation of internal, poisoning, and men and women psychiatric emergencies. In order to data analyzing, Statistical Package for Social Sciences (SPSS) and Excel software have been used and the state of hospital's emergencies compared with each other. Findings: The finding of the present research shows that in management and organizing part with maximum grade of 34, the maximum point belongs to internal emergency department (26 point); in human power management with maximum point of 244, the maximum point belongs to internal emergency department (145 point); in equipment and supplies with maximum point of 78, the maximum point belongs to poisoning emergency department (66 point); in security, quality improvement, and data gathering with maximum point of 390, belongs to poisoning emergency department (252 point) and internal emergency department (250 point), and women and men psychiatric emergency department (242 point) achieved the most highest scores. Discussion and Conclusion: The results show that because of the ease of poisoning emergency availability to paraclinic's services, the highest point is related to this part. The cause of the significance difference in management and manpower management is related to the lack of policy and method of working in emergency departments. So forming the meetings and holding educational courses with the processes' owners are very useful in policy and methods making.