Exploring emergency department visits: factors influencing individuals’ decisions, knowledge of triage systems and waiting times, and experiences during visits to a tertiary hospital in Saudi Arabia

Alhabdan, Nawaf; Alhusain, Faisal; Alharbi, Abdulkareem; Alsadhan, Muatassem A; Hakami, M.; Masuadi, Emad

doi:10.1186/s12245-019-0254-7

Cited by 23 publications

(38 citation statements)

References 22 publications

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“…Emergency department overcrowding is becoming a challenge for the healthcare management system globally 22 and locally. 1 In Saudi Arabia, studies about ED visits mainly focus on a specific study population, ie drug-related problems, 23 triage system issues, 24 non-urgent visits, 25 duration of revisit, 26 or a specific group of patients, ie post bariatric surgery 27 and sickle-cell disease. 28 To our knowledge, the current study is among the few targeting all the adult patients frequenting the emergency department in tertiary care in Saudi Arabia.…”

Section: Discussionmentioning

confidence: 99%

“…4,5 The current study shows that female patients had more visits (53%), which supports local studies, (55%) females reported by Al-Otmy etal; (57%) by Zakaria etal, and international literature Hooker etal Yet, a study has yielded equal numbers of ED visits by males and females. 24 In general, studies have reported different distribution of frequent visitation across gender; males dominance was reported in Singapore, 9 in females 31 or unrelated to gender. 35 It has been reported in the literature that when visiting frequency increases, the percentage of males increases.…”

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confidence: 99%

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Epidemiology of Frequent Visits to the Emergency Department at a Tertiary Care Hospital in Saudi Arabia: Rate, Visitors’ Characteristics, and Associated Factors

Al-Surimi¹,

Yenugadhati²,

Shaheen³

et al. 2021

IJGM

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Background: Emergency department overcrowding is becoming a challenge for the healthcare management system globally and locally. This study aimed to estimate the frequency of ED visits, describe the patients' profile along with visit-related characteristics, and associated factors in a tertiary care hospital. Methods: A retrospective cohort study was conducted at a tertiary care hospital. The study included patients age 14 years and above visiting the main emergency department in year 2013. Data were extracted from electronic medical records by a qualified data extraction team. Statistical analyses were performed, including the odds ratio and 95% confidence interval for the factors associated with highly frequent (≥14 visits) ED visits using logistic regression models. Results: There were 150,727 visits to the emergency department within a year. The number of frequent visitors was 7696 (9.38%), with 42,226 visits (28.01% of total ED visits). Highly frequent visitors totaled 249 (0.30%), with 5173 visits (3.43% of total ED visits). The frequent visitors' average age was 42.55 (SD 20.14), and 48.99 (SD 21.33) for the highly frequent visitors' group. More than half of the emergency visitors were females. The most common complaints among the highly frequent visitors were Gastrointestinal (21.34%), followed by Respiratory (13.47%), Orthopedic (12.57%), and Cardiovascular (12.43%). Multivariate analysis indicated that age, history of diabetes, history of cardiac diseases, insurance status, and nationality were significant predicators of highly frequent visits to the hospital emergency. Conclusion: Frequent and highly frequent visitors to emergency departments represent a significant proportion of adult patients presenting to ED. Their visits constitute almost onethird of total ED visits. Several factors associated with highly frequent ED visits have been identified. This study provides local empirical evidence to develop improvement policy and actions related to chronic issue of frequent and highly frequent visitation to hospital ED.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Epidemiology of Frequent Visits to the Emergency Department at a Tertiary Care Hospital in Saudi Arabia: Rate, Visitors’ Characteristics, and Associated Factors

Al-Surimi¹,

Yenugadhati²,

Shaheen³

et al. 2021

IJGM

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“…However, the preferred way of information dispensation at the ED was only based on non-European studies with varying results. The preferred way of information delivery was by lea ets (32-60%), video (25-50%) or speaking with an expert (24%) (11,12,16). The option for modern techniques such as apps on personal devices or tablets provided by the hospital were not studied before.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, there is little evidence regarding the preferred way of information dispensation at the ED and only based on non-European studies. These studies showed that patients preferred information dispensation by video, lea ets or information screen in the waiting room (11,12,16).…”

Section: Introductionmentioning

confidence: 99%

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Patient Satisfaction, Needs and Preferences Concerning Information Dispensation at the Emergency Department; A Cross-Sectional Observational Study

Steenwinkel

Haagsma

Berkel

et al. 2021

Preprint

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Background Patient satisfaction is an important indicator of emergency care quality and has been associated with information dispensation at the Emergency Department (ED). Optimal information dispensation could improve patient experience and expectations. Knowing what kind of information patients want to receive and the preferred way of information dispensation are essential to optimize information delivery at the ED. The purpose of this cross-sectional observational study was to evaluate patient satisfaction concerning information dispensation (including general, medical and practical information), the need for additional information and preferences with regards to the way of information dispensation at the ED of a teaching hospital in the Netherlands. Results423 patients (patients ≥18 years with Glasgow Coma Scale 15) were enrolled (response rate 79%). The median patient satisfaction score concerning the overall information dispensation at the ED was 7.5 on a rating scale 0-10. Shorter length of ED stay was associated with higher patient satisfaction in multivariate analysis (P<0.001). The majority of respondents was satisfied regarding medical (N=328; 78%) and general information (N =233; 55%). Patients were less satisfied regarding practical information (N =180; 43%). Respondents who indicated that they received general, medical and practical information were significantly more often satisfied compared to patients who did not receive this information (P<0.001). Two thirds (N=260; 62%) requested more general information. Half of the respondents (N=202; 48%) requested more practical information and a third (N=152; 36%) requested more medical information. The preferred way for receiving information was orally (N=189; 44.7%) or by leaflets (N=108; 25.5%).ConclusionThe majority of respondents were satisfied concerning information dispensation at the ED, especially regarding medical information. Respondents requested more general and practical information and preferred to receive the information orally or by leaflets.

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Beyond one size fits all: Probing patient choices in gestational diabetes management, from screening to postpartum

Mobin,

Obeid,

El‐Kebbi

et al. 2024

Chronic Diseases and Translational Medicine

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During antenatal care, gestational diabetes mellitus (GDM) screening is crucial for early diagnosis and treatment to ameliorate clinical outcomes and limit health care expenses. Dietary management and physical activity are central to GDM treatment, however, adherence is often influenced by personal preferences, socioeconomic barriers, and psychological stress. Pharmacologically, insulin and oral hypoglycemic medications, are the main GDM treatment that can be subject to patients' resistance due to fears of needles and side effects. Metformin is increasingly preferred for its ease of administration and lower cost. In the postpartum stage, regular screening for type 2 diabetes mellitus (T2DM) should always be considered despite the possible limitations that could arise, including communication gaps, lack of long‐term focus, and personal barriers. Overall, women with GDM prefer personalized, flexible management plans that consider their lifestyle, support from health care professionals (HCPs), and family involvement. Addressing psychological and socioeconomic barriers through education, counseling, and support networks is crucial for improving adherence and health outcomes. Enhancing patient‐centered care and shared decision‐making can empower women with GDM to manage their condition effectively and maintain lifestyle changes postpartum. Therefore, this review aimed to assess pregnant women's preferences in GDM management, focusing on screening, dietary recommendations, physical activity, and treatment. Additionally, this review examined GDM care in terms of these patients' quality of life and postpartum experiences.

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Exploring emergency department visits: factors influencing individuals’ decisions, knowledge of triage systems and waiting times, and experiences during visits to a tertiary hospital in Saudi Arabia

Cited by 23 publications

References 22 publications

Epidemiology of Frequent Visits to the Emergency Department at a Tertiary Care Hospital in Saudi Arabia: Rate, Visitors’ Characteristics, and Associated Factors

Epidemiology of Frequent Visits to the Emergency Department at a Tertiary Care Hospital in Saudi Arabia: Rate, Visitors’ Characteristics, and Associated Factors

Patient Satisfaction, Needs and Preferences Concerning Information Dispensation at the Emergency Department; A Cross-Sectional Observational Study

Beyond one size fits all: Probing patient choices in gestational diabetes management, from screening to postpartum

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