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A time and motion study in pediatric ER of the Secondary Hospital in Al Jouf Region, Saudi Arabia
M A Mubaraki1, M S Alrashidi, A Abudan
1COVID-19 Team for Pediatric, Jeddah Azziziya Children Hospital, Jeddah, Saudi Arabia. m.shakil@mu.edu.sa.
Insights
Hospital staff training significantly improved pediatric emergency room services by reducing wait times and optimizing processes. This intervention enhanced patient care efficiency and outcomes in emergency settings.
Area of Science:
- Healthcare Management
- Pediatric Emergency Medicine
- Quality Improvement
Background:
- Long waiting times and inefficient processes in hospital emergency departments lead to suboptimal patient care.
- Timely medical intervention is critical, especially in pediatric emergency settings, to prevent adverse outcomes.
Purpose of the Study:
- To assess time wastage from patient reception to emergency unit arrival.
- To identify factors contributing to delays in emergency care.
- To evaluate the impact of staff training on pediatric emergency room services.
Main Methods:
- An intervention study conducted over 12 months in four Saudi Arabian hospitals.
- Data collected in two phases: pre-training and post-training.
- Utilized MS Excel for templates and SPSS for statistical analysis, including percentages and proportions.
Main Results:
- Training significantly reduced the time to doctor consultation (p < 0.001).
- Implementation of the Canadian Triage and Acuity Scale (CTAS) showed a strong association with improved triage (p < 0.001).
- The administration of intravenous (IV) antibiotics in the emergency room decreased significantly post-training (p < 0.001).
Conclusions:
- Staff training has a substantial positive impact on the efficiency and quality of pediatric emergency room services.
- The study highlights the effectiveness of targeted interventions in improving emergency healthcare delivery.
Objective:
In the hospital setting, long waiting times and the lengthy formal process have increased the inefficiency and mismanagement resulting in the missing chance of saving the patients' life. Our aim was to assess the time wastage of every patient coming from reception to the actual emergency unit, to analyze the factor associated with the time lapse that occurs during every visit, and to see the effect of training on the services provided in the Pediatric emergency room.
Subjects And Methods:
An intervention study was carried out in the following secondary care hospital in the Al Jouf region, Saudi Arabia: Esawiyah Hospital, Haditha Hospital, King Faisal Hospital, and Gurayat General Hospital among 400 study participants for 12 months. The study was carried out in 2 phases: pre-training, a period of training for hospital staff, and post-training data collection. Templates were generated on an MS Excel sheet and analysis of data was done using SPSS software. Percentages and proportions were calculated for descriptive statistics.
Results:
Male and female patients were in the ratio of nearly 1:1. Training has significantly reduced the time to doctor consultation (U = 188, p < 0.001), and the time difference pre- and post-training from triage to consultation in a pediatric emergency is not significant (U = 16,769, p = 0.01). There is a strongly significant association (p < 0.001) between Canadian Triage and Acuity Scale (CTAS) implementation in triage. The practice of giving intravenous (IV) antibiotics in the emergency room has reduced significantly (p < 0.001) post-training.
Conclusions:
Training has a significant impact on the services provided in the pediatric emergency room.
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