FACTORS CORRELATED WITH THE LENGTH OF STAY OF PATIENTS IN THE EMERGENCY DEPARTMENT OF HOSPITAL A, EAST JAVA
Main Article Content
The issue of overcrowding in the Emergency Department (ED) has not been resolved in Indonesia, which can be caused by prolonged Length of Stay (LOS) of patients in the ED, resulting in delayed service time and increased mortality rates in the ED. Methods: This research is quantitative research using primary data. The research design used observational analytics with a prospective cohort approach with a sample size of 62 patients. Research Findings: Triage, length of diagnostic testing, the number of patients in the ED at the time the patient arrives, and the nurse-to-patient ratio do not have a significant correlation with ED LOS. There is a significant correlation between Boarding Time and ED LOS (p<0.001) with strong correlation strength (0.77). Conclusions: There is a strong positive linear correlation between Boarding Time and the length of time patients stay in the ED (p<0.001) with strong correlation strength (0.77) and is a dominant factor with a capacity of 58.6% to explain patient’s ED LOS.
Keywords:
ED LOS
Boarding Time
ED Crowding
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2. Morganti KG, Bauhoff S, Blanchard JC, Abir M, Iyer N, Smith A, et al. The Evolving Role of Emergency Departments in the The Evolving Role of Emergency Departments in the United States. Vol. 3, Rand Health Q. 2023.
3. Jo S, Kim K, Lee JH, Rhee JE, Kim YJ, Suh GJ, et al. Emergency department crowding is associated with 28-day mortality in community-acquired pneumonia patients. Journal of Infection. 2012 Mar;64(3):268–75.
4. Jo S, Jeong T, Jin YH, Lee JB, Yoon J, Park B. ED crowding is associated with inpatient mortality among critically ill patients admitted via the ED: Post hoc analysis from a retrospective study. American Journal of Emergency Medicine. 2015;33(12):1725–31.
5. Schull MJ, Slaughter PM, Redelmeier DA. Urban emergency department overcrowding: Defining the problem and eliminating misconceptions. Canadian Journal of Emergency Medicine. 2002;4(2):76–83.
6. Schull MJ, Vermeulen M, Slaughter G, Morrison L, Daly P. Emergency department crowding and thrombolysis delays in acute myocardial infarction. Ann Emerg Med. 2004 Dec;44(6):577–85.
7. Sun BC, Hsia RY, Weiss RE, Zingmond D, Liang LJ, Han W, et al. Effect of emergency department crowding on outcomes of admitted patients. Ann Emerg Med. 2013;61(6).
8. Singer AJ, Thode HC, Viccellio P, Pines JM. The association between length of emergency department boarding and mortality. Academic Emergency Medicine. 2011 Dec;18(12):1324–9.
9. Espinosa G, Miró Ò, Sánchez M, Coll-vinent B, Millá J. Effects of external and internal factors on emergency department overcrowding. Vol. 39, Annals of Emergency Medicine. Mosby Inc.; 2002. p. 693–5.
10. KEMENTERIAN KESEHATAN REPUBLIK INDONESIA. PERATURAN MENTERI KESEHATAN REPUBLIK INDONESIA NOMOR : 129/Menkes/SK/II/2008 TENTANG STANDAR PELAYANAN MINIMAL RUMAH SAKIT. 2018.
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13. Driesen BEJM, Van Riet BHG, Verkerk L, Bonjer HJ, Merten H, Nanayakkara PWB. Long length of stay at the emergency department is mostly caused by organisational factors outside the influence of the emergency department: A root cause analysis. PLoS One. 2018 Sep 1;13(9).
14. Bernstein SL, Aronsky D, Duseja R, Epstein S, Handel D, Hwang U, et al. The effect of emergency department crowding on clinically oriented outcomes. Academic Emergency Medicine. 2009 Jan;16(1):1–10.
15. Wiler JL, Handel DA, Ginde AA, Aronsky D, Genes NG, Hackman JL, et al. Predictors of patient length of stay in 9 emergency departments. American Journal of Emergency Medicine. 2012 Nov;30(9):1860–4.
16. Kaushik N, Khangulov VS, O’hara M, Arnaout R. Reduction in laboratory turnaround time decreases emergency room length of stay. Open Access Emergency Medicine. 2018;10:37–45.
17. Yoon P, Steiner I, Reinhardt G. Analysis of factors influencing length of stay in the emergency department. Canadian Journal of Emergency Medicine. 2003;5(3):155–61.
18. Hoot NR, Aronsky D. Systematic Review of Emergency Department Crowding: Causes, Effects, and Solutions. Vol. 52, Annals of Emergency Medicine. Mosby Inc.; 2008.
19. Jo S, Jin YH, Lee JB, Jeong T, Yoon J, Park B. Emergency Department Occupancy Ratio is Associated With Increased Early Mortality. J Emerg Med. 2014 Feb 1;46(2):241–9.
20. Savioli G, Ceresa IF, Gri N, Piccini GB, Longhitano Y, Zanza C, et al. Emergency Department Overcrowding: Understanding the Factors to Find Corresponding Solutions. Vol. 12, Journal of Personalized Medicine. MDPI; 2022.
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22. Khare RK, Powell ES, Reinhardt G, Lucenti M. Adding More Beds to the Emergency Department or Reducing Admitted Patient Boarding Times: Which Has a More Significant Influence on Emergency Department Congestion? Ann Emerg Med. 2009;53(5).
23. Sullivan C, Staib A, Eley R, Scanlon A, Flores J, Scott I. National Emergency Access Targets metrics of the emergency department-inpatient interface: Measures of patient flow and mortality for emergency admissions to hospital. Australian Health Review. 2015;39(5):533–8.
24. Chapman SA, Seago JA, Dower C. How Have Mandated Nurse Staffing Ratios Affected Hospitals? Perspectives from California Hospital Leaders [Internet]. Available from: http://journals.lww.com/jhmonline
