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2020, vol. 37, br. 4, str. 369-380
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Efekat primene indeksa za procenu urgentnosti na čekanje i zbrinjavanje bolesnika na odeljenju urgentne medicine
Effect of emergency severity index implementation on the waiting time for patients to receive health services in the emergency department
Urmia University of Medical Sciences, Faculty of Nursing and Midwifery, Department of Medical Surgical Nursing, Urmia, Iran
e-adresa: habibzadeh.h@umsu.ac.ir
Sažetak
Vreme koje bolesnici provedu na odeljenju urgentne medicine, kako bi bili zbrinuti, utiče na mnogobrojne procese koji se odvijaju na tom odeljenju. Cilj ovog istraživanja bilo je određivanje efekta primene indeksa za procenu urgentnosti situacije na vreme koje bolesnici provedu na odeljenju urgentne medicine kako bi bili zbrinuti. Ova kvazieksperimentalna studija uključila je 736 bolesnika, koji su bili upućeni na odeljenje urgentne medicine bolnice Imam Khomeini u Mahabadu. Nakon trijaže, usled primene ovog indeksa, trista šezdeset osam bolesnika raspoređeno je u preinterventnu grupu, dok je trista šezdeset osam pacijenata raspoređeno u postinterventnu grupu, primenom metode slučajnog odabira. Pre i posle sprovođenja trijaže, vreme čekanja bolesnika bilo je mereno i beleženo hronometrom. Za analizu podataka korišćeni su Chisquare, Mann-Whitney i Kruskal-Wallis testovi. Pre i nakon intervencije, bolesnici iz obeju grupa bili su homogeni u pogledu demografskih varijabli (p > 0,05). Rezultati Mann-Whitney testa ukazuju na to da primena indeksa za procenu urgentnosti situacije ima pozitivan efekat na smanjenje prosečnog vremenskog intervala za zbrinjavanje bolesnika, kao i na ukupno vreme provedeno na odeljenju urgentne medicine (p < 0,05). Uzimajući u obzir primenu trijaže pomoću ovog indeksa, koja je smanjila čekanje bolesnika, indeks za procenu urgentnosti situacije preporučuje se u obuci sestara i ostalog medicinskog osoblja na odeljenju urgentne medicine.
Abstract
The waiting time for patients in the emergency department to receive health services influences many processes in this department. This research aimed to determine the effect of implementation and deployment of emergency severity index (ESI) on the waiting time for patients to receive health services in the emergency department. This quasi-experimental study was performed on 736 patients who were referred to the emergency department of Imam Khomeini Hospital of Mahabad. For the ESI triage implementation, 368 patients were assigned to the pre-intervention group and 368 patients were selected for the post-intervention group, using a simple random sampling. Before and after the ESI triage implementation, the waiting time for patients to receive services was measured and recorded using a chronometer. For data analysis, Chi-square, Mann-Whitney and Kruskal-Wallis tests were used. Before and after the intervention, both groups were homogeneous in terms of demographic variables (p > 0.05). The results of Mann-Whitney test indicate that implementation of emergency severity index (ESI) has a positive effect on the decrease of average time intervals to provide health services, as well as on the entire length of stay in the emergency department (p < 0.05). Given the effect of the ESI triage implementation that reduced the waiting time for patients to receive health services, ESI is recommended for training nurses and other emergency staff.
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