Quality and effectiveness of an emergency department during weekends

Emergency Medicine Journal : EMJ
O MiróJ Millá

Abstract

To evaluate whether the quality and effectiveness of an emergency department (ED) are modified during weekends. Quality and effectiveness markers were determined during 539 consecutive days, comparing them according to the day of the week. Quality markers were the daily percentage of patients who died in the internal medical unit (deaths, D), leave ED without being seen (flights, F); returned to the ED (revisits, R), and the percentage of registered complaints (C). Effectiveness markers were: the "number of patients waiting to be seen" (WP), the "waiting time to be seen" (WT), and the "length of visit" (LV). Quality and effectiveness of ED do not worsen during weekend days and some markers significantly improved during such days: C experienced a 26% decrease (p = 0.001), WT decreased 65% (p<0.001), WP 59% (p<0.001), and LV 24% (p<0.01). Assessing the relation between daily number of visits to ED and the quality and effectiveness markers, a significant and direct association was found of the number of visits with D, F, R, and WP. Some of the quality and effectiveness markers of the ED improved during weekend days compared with workdays.

Citations

Apr 17, 2014·The American Journal of Emergency Medicine·Nathan Benjamin MenkeMarie Nam Menke
May 6, 2011·Thrombosis and Haemostasis·Massimo GalleraniRoberto Manfredini
May 1, 2007·The American Journal of Medicine·Eran BendavidJoel S Weissman
May 1, 2012·Journal of Vascular Surgery·Massimo GalleraniRoberto Manfredini
Aug 23, 2016·European Journal of Internal Medicine·Richard ConwayBernard Silke

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