Correlation of Admision Time, Discharge Time and Patients Discharge Type With Length of Stay in Yellow Zone of Emergency Department

Abstract

Patient density in Emergency Department (ED) is an issue that is still being experienced in various countries. Patients density commonly refers to overcrowding that will cause some problems, one of which is the Length of Stay (LOS) of patient in ED. The prolongation of LOS will cause problems for patients (increased mortality and morbidity) and also the staff. The staff who are exhausted also will potentially perform medical mistake that will adversely affect the patient (Salway et al., 2017). Every year, one of the largest ED in Indonesia has increased the patient's admission. Data of patient's visit that have been obtained from the previous study revealed that ED which have the highest number of visits is in the Yellow Zone, thus, yellow zone has great potential in variation of LOS (Ahsan, Deviantony & Setyoadi, 2017). The number of patients in ED cannot be predicted. Moreover, as the patient's condition is unforeseen in ED so patient's admission time is various. Not only on shift hour but other factors are associated with LOS of admitted patients in ED (

Factor analysis related to the length of stay of covid-19 patients in emergency installations

“…DL (complete blood), GDA (random blood sugar / time), FH (faal hemostasis, namely PTT and APTT), liver function (SGOT and SGPT), rapid COV-19, BUN, creatinine, electrolyte serum, and other tests are performed. This is in line with research conducted by Alemu et al, (2019) and Purwacaraka et al, (2019), which explained that laboratory examinations have a strong effect on the Length of Stay in the emergency room. According to the Ministry of Tourism in 2018, the time for laboratory examinations is 140-180 minutes.…”

Factor Analysis Affecting LOS in Yellow Triage Emergency Room at Bangil Hospital during the COVID-19 Pandemic

“…In the research data, the results showed that laboratory tests did not have a significant relationship with LOS lengthening in the ER. This is different from the research of Getahun et al (2019) and Purwacaraka et al (2019) which explains that laboratory tests have a strong effect on LOS in the ER (Getahun et al, 2019; Purwacaraka et al, 2019). It is known that the duration of laboratory examinations depends on the number of laboratory requests determined by doctors and/or specialists.…”

“…The causes of LOS lengthening in the ER are divided into 3 aspects, namely input, throughput, and output (Bellow & Gillespie, 2014). The throughput aspect is the most influential area for LOS in the ER, starting when the patient enters until leaving the ER (Kusumawati et al, 2019;Purwacaraka et al, 2019). The variables in the throughput area include the duration of laboratory examinations, duration of radiological examinations, duration of specialist doctor consultation, and duration of the patient transfer process.…”