Emergency Patients Research Articles

Impacts of Hospital Data Breach on Healthcare Quality.

To examine the effects of data breach incidents on healthcare quality and to explore potential mechanisms. Hospital-level data breach reports from the U.S. Department of Health and Human Services and patient-level hospitalization records from Florida State Inpatient Database during 2013-2017. We employ a propensity score matching difference-in-difference model to estimate changes in a patient's emergency department (ED) door-to-hospital admission hours, days to undergo principal procedure after admission, length of stay days, and in-hospital mortality rates following data breaches. We compare the health information technology (HIT) functionalities of breached and non-breached hospitals during both pre and post periods. Our primary analysis covers 1,295,537 records of inpatients admitted through the EDs of 12 hospitals. Data breaches are associated with long-term improvements in healthcare quality, particularly in the timeliness of patient care and acute myocardial infarction (AMI) mortality. Over time, patients experience a reduction of 0.56 h in ED door-to-hospital admission time (95% confidence interval [CI]: -1.04 to -0.06 h) and a decrease of 0.18 days in time to undergo the principal procedure after hospital admission (95% CI: -0.23 to -0.13 days). Additionally, AMI patients experience a one percentage point reduction in in-hospital mortality (95% CI: -2 to -0.06 percentage points), while mortality rates for other patient groups remain unchanged. Hospitals affected by data breaches show long-term advancements in their HIT functionalities. Hospital data breach incidents are associated with improved healthcare quality. This improvement may be attributed to hospitals' enhanced functionality of HIT.

Exploring Mortality and Prognostic Factors of Heart Failure with In-Hospital and Emergency Patients by Electronic Medical Records: A Machine Learning Approach.

As HF progresses into advanced HF, patients experience a poor quality of life, distressing symptoms, intensive care use, social distress, and eventual hospital death. We aimed to investigate the relationship between morality and potential prognostic factors among in-patient and emergency patients with HF. A case series study: Data are collected from in-hospital and emergency care patients from 2014 to 2021, including their international classification of disease at admission, and laboratory data such as blood count, liver and renal functions, lipid profile, and other biochemistry from the hospital's electrical medical records. After a series of data pre-processing in the electronic medical record system, several machine learning models were used to evaluate predictions of HF mortality. The outcomes of those potential risk factors were visualized by different statistical analyses. In total, 3871hF patients were enrolled. Logistic regression showed that intensive care unit (ICU) history within 1week (OR: 9.765, 95% CI: 6.65, 14.34; p-value < 0.001) and prothrombin time (OR: 1.193, 95% CI: 1.098, 1.296; <0.001) were associated with mortality. Similar results were obtained when we analyzed the data using Cox regression instead of logistic regression. Random forest, support vector machine (SVM), Adaboost, and logistic regression had better overall performances with areas under the receiver operating characteristic curve (AUROCs) of >0.87. Naïve Bayes was the best in terms of both specificity and precision. With ensemble learning, age, ICU history within 1week, and respiratory rate (BF) were the top three compelling risk factors affecting mortality due to HF. To improve the explainability of the AI models, Shapley Additive Explanations methods were also conducted. Exploring HF mortality and its patterns related to clinical risk factors by machine learning models can help physicians make appropriate decisions when monitoring HF patients' health quality in the hospital.

Changes in Emergency Department and Inpatient Encounters for Falls after the Onset of the COVID-19 Pandemic.

This study investigates changes in clinical encounters due to falls before and after the onset of the COVID-19 pandemic. De-identified health record data from a large mid-western health system was used to examine the frequency of emergency department (ED) and inpatient (IP) encounters for falls by month among adults age 50+ (N = 485, 886 patients) using joinpoint regression analysis. Also, overall rates before and during the pandemic were compared using log-binomial models. Fall rates increased following the onset of the COVID-19 pandemic for IP encounters but not for ED encounters. There were no differences by age, gender, race, or nSES. Monthly IP fall rates increased by 0.68% per month both before and after the onset of the COVID-19 pandemic. Pandemics may occur in the future, and interventions are needed to prevent falls in older adults during the next public health emergency.

Same-day emergency care: a retrospective observational study of the incidence and predictors of venous thromboembolism following hospital-based acute ambulatory medical care.

Same-day emergency care (SDEC) is an expanding area of hospital acute medical care. It aims to minimize delays and manage medical emergency patients within the same day, enabling hospitalization to be avoided; the expectation is that the patients would have required inpatient hospitalization in the absence of the SDEC service. Venous thromboembolism (VTE) prevention is a key medical inpatient safety measure. Whether VTE prevention should be considered for SDEC patients is unknown. To examine the incidence and predictors of VTE diagnosed within 90 days of SDEC assessment. Data were obtained from electronic health records of people who received SDEC at our hospital during a 5-year period (April 2016 to March 2021). There were 40 045 attendance episodes by 33 715 individuals. Median age was 60 years (IQR, 41.0-76.0 years), and 55.2% were women. Three hundred forty-nine patients (0.9%) developed a VTE within 90 days of SDEC. Increased risk of VTE was associated with age more than 60 years, prior malignancy (adjusted odds ratio [OR], 4.12; 95% CI, 3.19-5.32; P< .0001), history of diseases of the circulatory system (adjusted OR, 2.92; 95% CI, 2.27-3.76; P< .0001), and having 1 or more additional SDEC attendances within 30 days (adjusted OR, 4.61; 95% CI, 3.65-5.82; P< .0001). In the 90 days prior to VTE diagnosis, 36.6% of patients had a separate inpatient admission in addition to SDEC. There was no association with completion of an electronic VTE risk assessment (adjusted OR, 0.96; 95% CI, 0.76-1.20). The incidence of VTE following SDEC is similar to that reported for symptomatic VTE in traditional medical inpatients without thromboprophylaxis.

의료행위의 형사책임에 있어서 중과실의 개념과 유형에 관한 고찰

Recently, the government announced that it would establish special criminal provisions for medical accidents in order to allow medical professionals to focus on treating severe and emergency patients in a stable treatment environment, and to allow patients to receive prompt and sufficient medical treatment, thereby promoting national health. While it is desirable that criminal responsibility for medical accidents be carried out through the exercise of the state's legitimate right to punish within the minimum necessary scope in accordance with the principle of supplementarity and the principle of responsibility, the indiscriminate expansion of medical criminal lawsuits will result in undesirable results not only for medical professionals but also for patients and the entire nation, and therefore, it is necessary to discuss special criminal provisions for medical accidents. In general, criminal responsibility for medical accidents is mainly regulated by Article 268 of the Criminal Act as a crime of occupational negligence resulting in death, and theoretically, the concept and content of breach of duty of care in occupation are important factors in the nature of a crime of negligence. Our criminal law distinguishes between (general) negligence, occupational negligence, and gross negligence in the crime of negligent homicide, and stipulates occupational negligence resulting in death and injury and gross negligence resulting in death as grounds for increased punishment when compared to negligent homicide. Although our criminal law conceptually distinguishes occupational negligence and gross negligence, it stipulates the statutory punishments for occupational negligence resulting in death and gross negligence resulting in death are the same, so in practice, it only applies to occupational negligence resulting in death, which is relatively easy to apply, and does not deal with gross negligence resulting in death. It would be unjustifiable to limit the exercise of the right to punishment to cases where serious consequences are caused by gross negligence in the duty of care. It would be necessary to ease criminal regulations under certain conditions for simple violations of the duty of care and negligent acts that do not have a direct causal relationship with the occurrence of the consequences. However, it would be desirable to impose severe criminal liability close to intent in cases where serious consequences are caused by gross negligence in the duty of care. However, it would not be easy for investigators to determine in specific cases whether there is a serious violation of the duty of care that constitutes gross negligence. In terms of minimizing criminal intervention as a means of rationalizing criminal procedures for medical practices in criminal procedures, it would be necessary to explicitly state the concept and types of gross negligence in the law. However, in order to establish specific reasons or secure normative power, it would be reasonable to delegate individual specific reasons to lower-level laws. In other words, it would be necessary to explicitly stipulate the concept of gross negligence in the law and stipulate the types of gross negligence as general reasons. In addition, in cases where the specification of the cause of gross negligence is delegated to lower-level laws, not only legal experts but also medical professionals must be included in determining the cause of gross negligence, and during the discussion, clinical reality must be taken into consideration when deciding the cause of gross negligence.

Assessment and Management of Pain and Anxiety in Pediatric Patients in Emergency

Objective: To assess pain level in pediatric patients presented with dental pain at the emergency department of Jinnah Postgraduate Medical Center, Karachi. Study design: A cross-sectional study. Place and Duration: The study was conducted in a Pediatric Emergency Department at the Jinnah Postgraduate Medical Center, Karachi, for 6 months from March 2024 to September 2024. Methodology: Total 230 hospitalized children over 6 months were assessed the pain levels of these children on admission and 8 hours after admission. Analgesic treatment was given to children and pain was assessed according to Wong-Baker Faces Pain Rating Scale. SPSS version 27 was used for data analysis. Descriptive statistics, such as means and standard deviations, were used to summarize the quantitative variables. Results: Paracetamol was the most given analgesic to the patients as 41.7%, whereas brufen and intravenous analgesics were given as 30.0% and 10.0%, respectively. There were 19.6% patients who had no pain at admission, 19.6% had mild pain, 37.8% had moderate pain and 23.0% had severe pain. Whereas, 110 (47.8%) patients had no pain after analgesics, 35.2% had mild pain, 13.5% and 3.5% had severe pain. The association of severity of pain at admission and after analgesics was statistically significant, (p&lt;0.001). Conclusion: Pain scales are indeed valuable tools for assessing and managing pain in children, as they provide a standardized and systematic way to measure and communicate pain levels. Pain relief and management are important aspects of patient care, as untreated or poorly managed pain can have detrimental effects on a patient's physical and emotional well-being.

A Comprehensive Review on the Synergy between Emergency Services, Nurses, Assistant Nurses, and Laboratory Teams in Critical Care

Emergency services as well as the nurses, assistant nurses and the laboratory teams, must work hand in hand when providing critical care. In critically-acclaimed cases where time is of the essence, interdisciplinary coordination enhances the diagnosis, delivery of treatments and patient outcomes. The emergency patient is kept safe, rapidly moved, and treated by triage and early care, followed by ward nurses and assistant nurses who can perform continuous observations, supported by laboratory personnel who provide essential information needed for treatment. However, collaboration is often faced with barriers such as communication breakdown, organizational structure, and lack of standard use of technology. Works released between 2010 and 2020 indicate that standardization of information transfer, such as the SBAR model, and embracing clinical information technology, such as EHR, improves team coordination, minimizes adverse events, and shortens reaction time. Also, interdisciplinary training is another important practice that helps ensure that different departments have enough trust for one another, enabling better integration. Since the changes in attitudes towards interdisciplinary collaboration, new technologies such as data sharing and diagnostics have enhanced the flow of information between teams. However, the patchy implementation throughout facilities has hindered this. Other areas that may need to be tackled to improve collaboration and support these initiatives include workload disparities, the number of staff, and other resources available to research and analyse different topics. This review systematically presents data regarding the collaboration of these teams. It highlights the implementation of common processes and information exchange in Main Communication Protocols and effective workflow for coordinating the care for critically ill patients as pillars for better outcomes in patient care in critical care settings.

Endodontic emergency patients’ profile and treatment outcome – a prospective cohort study

BackgroundToothache is a debilitating condition, often with mild to excruciating pain, swelling, eating difficulties and insomnia. This study aims to delineate the profiles of patients seeking emergency dental care, focusing on the diagnosis, treatment, and outcomes following non-surgical root canal treatment.MethodsThis prospective cohort study was conducted from 2012 to 2021 at the Section for Endodontics, Department of Clinical Dentistry, University of Bergen, Norway. A total of 281 emergency patient forms were analyzed. Data registered included patient demographics, dental history, chief complaints, medications used, diagnostic results, treatments provided and outcome.ResultsA total of 272 patients (272 teeth) were included in the study. Pain was the predominant complaint (98.5%), where only 57.4% of the patients managed to localize pain to a specific tooth. The mean age of patients was 51.2 years with no significant gender differences. The maxillary right first molar (15.4%) was the most frequent tooth needing treatment. The majority of the patients had experienced pain for three days before they attended the emergency appointment. The most frequently used drug for pain management was paracetamol which was stated to have little effect. Teeth that needed endodontic treatment often had restorations rather than caries. The most frequent diagnoses were pulpitis (26.8%) followed by necrotic pulp (25.4%) and previously root filled teeth (22.8%). Root canal treatment was performed on 60% of the teeth and a success rate of 95% was registered at one-year recall.ConclusionsThere was no singular diagnostic cause leading patients to seek an emergency appointment, highlighting the necessity of a thorough diagnostic procedure. Over the counter pain medications have little effect on alleviating dental pain, often resulting in desperate measures of self-medication. 60% of the teeth needing emergency treatment had previous coronal restorations such as fillings or crowns, indicating that conservative treatment does not appear to fully protect against future pulpal disease. The good prognosis of root canal treatment for teeth with acute symptoms supports recommending dentists to attempt root canal treatment rather than opting for tooth extraction.

Role of Preoperative Chlorhexidine Bathing in Prevention of Surgical Site Infections among Women Undergoing Obstetric and Gynecological Procedures

Objective: To evaluate the role of preoperative bathing with chlorhexidine solution in reducing surgical site infections among women undergoing obstetric and gynecological operative procedures. Results: Surgical site infection rate (SSI) was significantly low in preoperative bathing with chlorhexidine group 1 (0.32%) as compared to non-bathing group 2 (1.89%). The clinical characteristics like diabetes, emergency and previous surgery patients showed statistically significant SSI rate in patients who did not take bath as compared to bath group. Conclusion: Our study showed that chlorhexidine pre-operative bath is safe for SSI prevention. however further research analysis is required for its role in clean surgery before implementing it in health policy especially in developing countries.

Pain Scales: Types and Comparison

Objective: Pain is a common and significant symptom in clinical practice, particularly among emergency and cancer patients. This article explores various pain scales and their clinical applications, alongside postoperative pain management in oncologic patients. A review of unidimensional pain scales, including the Numeric Rating Scale (NRS), Visual Analog Scale (VAS), Verbal Rating Scale (VRS), and Faces Pain Rating Scale (FPS), is presented. Additionally, the pathophysiology and pharmacological and non-pharmacological strategies for managing postoperative pain in cancer patients are discussed. Pain scales vary in sensitivity, ease of use, and clinical suitability. NRS is widely preferred for its simplicity and statistical applicability, whereas VAS offers higher sensitivity but practical limitations. Postoperative pain in oncologic patients is influenced by surgical trauma, psychological factors, and pre-existing pain conditions, with inadequate management leading to systemic complications and increased cancer recurrence risk. Effective management incorporates both non-opioid and opioid analgesics based on pain severity. Pain assessment tools and effective management strategies are critical for improving patient outcomes in clinical settings. Tailored approaches, particularly in oncologic postoperative care, can mitigate complications and enhance quality of life.

Evaluating the Impact of a Novel Program to Address Acute Food Insecurity Among Cancer Patients.

Acute food insecurity (FI) significantly impacts cancer patients' health, exacerbating physical and psychological burdens. While current interventions address chronic FI, acute cases remain undermanaged. Legacy of Hope, a Philadelphia-based non-profit, addresses this gap through its Emergency Patient Support Network (EPSN), offering free bi-weekly groceries to patients facing acute FI. The pilot study evaluated EPSN's impact utilizing the Legacy of Hope Acute Food Insecurity (LOHAFI) survey, which was performed at baseline and two weeks post-intervention. The survey combines the Functional Assessment of Cancer Therapy-General (FACT-G7) and questions on food and financial security. Mean scores and frequencies were calculated. Fifty patients (n = 50) completed the LOHAFI survey. The mean age was 55.1 years; 70% were female; 33 (66%) identified as Black. Two weeks after receiving groceries, patients reported a decrease in nausea (pre: 1.34; post: 1.18) and anxiety related to their cancer (pre: 2.49; post: 2.41) and an increase in the availability (pre: 1.70; post: 1.84) and consumption (pre: 2.26; post: 2.30) of healthy food. However, patient overall quality of life did not improve (pre: 13.14; post: 12.76). Legacy of Hope's EPSN shows potential in alleviating acute FI among cancer patients, although larger studies are needed to fully assess its impact.

Profile of renal conditions among pediatric emergency patients

BackgroundRenal diseases are frequently seen in the pediatric emergency department (ED), and usually, they are associated with morbidity and mortality if not early detected and properly managed. While acute kidney injury (AKI) can result from intrinsic kidney disease, many acute (nonrenal) conditions may be associated with AKI. In addition, children with chronic kidney disease (CKD) may also present to the ED with acute symptoms or complications.AimTo evaluate patients presenting to the ED with renal affection, their etiology, management, and outcome.Patients and methodsThis is a prospective descriptive study on 100 patients presented to Cairo University Pediatric ED with renal affection, from Jan to June 2023. Clinical data were collected including presenting manifestations, vital signs, clinical assessment, laboratory and radiological investigations, and also their plan of management or interventions needed and their outcome.ResultsSeventy-three percent of the patients had underlying CKD, and they presented mostly with acute complications as urinary tract infections (20%), severe anemia (25%), disturbed conscious level (10%), convulsions (12%), and hypertensive emergency (18%). Of the AKI patients (27%), 18% had underlying renal diseases, and 9% had multisystem affection. All of our patients received conservative management, 74 patients were admitted at the hospital, 24 patients needed ICU admission, 14 patients did peritoneal dialysis, 6 did hemodialysis, and only 1 patient needed continuous renal replacement therapy. Mortality was observed in only 2% of our patients.ConclusionPatients with renal conditions either AKI or CKD present to the ED with various acute conditions. Proper identification and provision of required services is important for a satisfactory outcome.

Critical Review of Nursing Innovations in Emergency Care and Chronic Disease Management

This paper critically reviews innovations in nursing practice within two essential domains of healthcare: aesthetics, acute &amp; emergency care, and the treatment of chronic illnesses. The nursing profession has responded to the continuing expansion of these areas directed toward enhancing patients' status, cost containment in the healthcare sector, and the general quality of care. In emergency care, innovations like the triage system, nurse-led emergency care, and the application of advanced technologies in assessing and managing emergency patients have revolutionized emergency care. Nursing in the care of chronic illness has described new roles in disease prevention, patient education, and chronic illness care with the use of new technologies and interventions to enhance the overall health of patients with chronic health conditions. This review looks at recent innovations in nursing, assesses their utility, and weighs their application to emergency and chronically ill patient populations or nursing.

Youth Emergency Department and Inpatient Psychiatric Recidivism After Treatment in a Community-Based Crisis Program.

In emergency departments (EDs) nationwide, increasing numbers of youths in psychiatric crisis are "boarding," or awaiting psychiatric care in a nonpsychiatric setting. Community stabilization programs may reduce the prevalence of boarding while supporting behavioral health. This study aimed to evaluate ED and inpatient (IP) psychiatric recidivism of youths receiving Crisis and Transition Services (CATS), a community-based program providing in-home behavioral health crisis services. This retrospective matched cohort study used 2012-2020 medical claims data and linked program-collected data to compare CATS participants with nonparticipants (2018-2020). In total, 533 youths receiving CATS were matched to a control group (N=1,066) on initial ED visit date, reason for visit, age, and sex. Outcomes included time until first insurance claim for psychiatric or suicide attempt recidivism to an ED, IP admission, or both. Cox proportional hazard models were used to estimate the association between the outcomes of interest and CATS participation or nonparticipation up to 1 year following hospital (ED or IP) discharge. CATS participation was significantly associated with reduced psychiatric recidivism to an ED, IP, or both, compared with nonparticipation, with significantly lower IP return admissions for suicide attempt. Some boarding youths may be safely discharged to intensive community-based behavioral health crisis programs. Although return visits to EDs for suicide attempt did not differ between groups, youths in CATS had significantly lower hazards of IP admissions for suicide attempt. Comparable programs may reduce boarding without adding risk. Future studies should examine which individuals would benefit most from community-based treatment as well as key program components associated with outcomes.

AI frontiers in emergency care: the next evolution of nursing interventions.

This scoping review explores the utilization of artificial intelligence in emergency nursing, assessing its impact, potential benefits, and the obstacles faced in its adoption. It covers the scope of AI from advanced triage protocols to continuous monitoring of patients, assistance in diagnosis, and providing support for clinical decisions. The review notes that AI in emergency healthcare can lead to more efficient care and timely, data-driven actions, but also highlights significant issues such as safeguarding patient data, the necessity for dependable infrastructure, and concerns over discriminatory algorithms. The promise of AI in improving emergency healthcare practices and patient care is clear, yet the identified challenges must be carefully navigated to promote safe and ethical use. Further empirical research is called for to confirm the effectiveness of AI applications in the dynamic environment of emergency care setups.

Work Systems Analysis of Emergency Nurse Patient Flow Management Using the Systems Engineering Initiative for Patient Safety Model: Applying Findings From a Grounded Theory Study.

Emergency nurses actively manage the flow of patients through emergency departments. Patient flow management is complex, cognitively demanding work that shapes the timeliness, efficiency, and safety of patient care. Research exploring nursing patient flow management is limited. A comprehensive analysis of emergency nursing work systems is needed to improve patient flow work processes. The aim of this paper is to describe the work system factors that impact emergency nurse patient flow management using the System Engineering Initiative for Patient Safety model. This study used grounded theory methodologies. Data were collected through multiple rounds of focus groups and interviews with 27 emergency nurse participants and 64 hours of participant observation across 4 emergency departments between August 2022 and February 2023. Data were analyzed using coding, constant comparative analysis, and memo-writing. Emergent themes were organized according to the first component of the System Engineering Initiative for Patient Safety model, the work system. Patient flow management is impacted by diverse factors, including personal nursing characteristics; tools and technology; external factors; and the emergency department's physical and socio-organizational environment. Participants raised concerns about the available technology's functionality, usability, and accessibility; departmental capacity and layout; resource levels across the health care system; and interdepartmental teamwork. Other noteworthy findings include obscurity and variability across departments' staff roles titles, functions, and norms; the degree of provider involvement in patient flow management decisions; and management's enforcement of timing metrics. There are significant barriers to the work of emergency patient flow management. More research is needed to measure the impact of these human factors on patient flow outcomes. Collaboration between health care administrators, human factors engineers, and nurses is needed to improve emergency nurse work systems.

Management of cerebrospinal fluid leak after a minimally invasive lumbar decompression procedure: illustrative case.

Neurogenic claudication caused by lumbar stenosis is a prevalent disorder of the spinal canal for which many treatment options exist. The mild (minimally invasive lumbar decompression) procedure has recently been introduced as a safe and effective alternative to medical management in the treatment of lumbar stenosis. However, data on complications are rarely reported, and the incidence of complications, when reported, is frequently assessed at 0% in the literature. The case of a patient with a cerebrospinal fluid leak following a mild procedure performed at an outpatient facility who presented to an inpatient emergency department is discussed. After lumbar drainage failed, the patient required 2 operative procedures to rectify the leak. A seemingly innocuous procedure may have highly morbid complications requiring a lengthy inpatient stay and return trips to the operating room. The physicians and surgeons who manage these complications are frequently not those who performed the index procedure; they should be educated on the risks of the procedure and best practices for definitive management. https://thejns.org/doi/10.3171/CASE24497.

Analysis of research trends and hotspots in emergency department overcrowding: A bibliometric study based on VOSview and Scimago Graphica

Objective Analyze the research trends and hotspots in emergency department overcrowding derived from the Web of Science Core Collection database. Methods The Web of Science Core Collection database was utilized as the search data source for the bibliometric analysis, and the associated articles published from January 1, 1990, to October 1, 2023.The search was executed using the following formula: TS = (crowded OR overcrowd OR crowding OR overcrowding) AND TS = (Emergency department). VOSviewer, Scimago Graphicaand and additional tools were utilized for bibliometric analysis, and visual knowledge graphs were created. Results A total of 1869 articles were included in this study. The country with the largest number of publications is the United States. The primary research institution is the University of Toronto. Jesse M. Pines and his group at George Washington University have the greatest influence in the field of emergency department overcrowding research. Carlos A. Camargo is the author with the highest h-index in this field. High-frequency keywords include “length-of-stay”, “impact”, “mortality”, “triage”, “association”, “outcomes”, “time”, “management”, “access block”, and “quality”. The clustering graph reveals that all keywords fall into seven categories. Conclusion We recommend intensifying research on emergency department overcrowding in more developing countries. In the future, the application of emerging technologies in emergency medicine as well as the mental health of emergency patients and medical staff may become research hotspots in this field.

THE RELATIONSHIP OF EMERGENCY INSTALLATION SERVICE RESPONSE TIME WITH PATIENT SATISFACTION AT SPECIALIZED HOSPITAL DUREN SAWIT, EAST JAKARTA IN 2023

Background: The number of patient visits to the Emergency Room (ER) has increased by around 30%. Based on statistical data from NHS England (2018) in the United Kingdom (2018), the number of patient visits to the ER is estimated to be more than 23,7 million. In 2019, the number of patients treated in the ER in Korea was 10.609.107, while in Indonesia the number of visits to the ER was 4,402,205 patients (13,3%). In DKI Jakarta in 2022 the number of emergency room visits will be 72%. The emergency room must be able to provide fast and appropriate assistance for patient safety, namely by providing a response time of ≤ 5 minutes. One of the determining indicators of patient satisfaction and the quality of health services in the emergency department is response time. Purpose: Knowing the relationship between emergency unit service response time and patient satisfaction levels. Methods: Analytical with cross sectional design. The sample in this study was a portion of the emergency room patients at Specialized Hospital Duren Sawit, East Jakarta in December 2023, totaling 75 people. The sampling technique uses Random Sampling. Results: Frequency distribution of emergency room patient satisfaction, most respondents said they were satisfied (69,3%) and the response time for emergency department services was mostly fast (52,0%). There is a relationship between the response time of emergency department services and the level of patient satisfaction (p value 0,000). Conclusion: There is a relationship between the response time of emergency department services and the level of patient satisfaction. It is hoped that health workers on duty in the emergency room can improve services in accordance with hospital standards to increase patient satisfaction.

Elective Surgery Planning in Mobile Operating Theaters Under Uncertain Demand of Emergency Patients

Elective Surgery Planning in Mobile Operating Theaters Under Uncertain Demand of Emergency Patients