Emergency department, Hospital, Resident specialists,Department performance index
Citation Information :
Bakhshi R, Mahfoozpour S, Alimohammadzadeh K, Norouzi H, Arani HZ. Impact of the Presence of Resident Specialists on the Emergency Department Performance Index at Hospitals of Mashhad University of Medical Sciences, Mashhad, Iran. Int J Res Foundation Hosp Healthc Adm 2019; 7 (1):29-32.
Aim: The main purpose of an emergency department (ED) is providing high quality services in the shortest possible time. Presence of resident specialists is one of the elements in healthcare reform plan which has been implemented with the aim of resolving the main problems of the healthcare system. This study examines the impact of the presence of resident specialists on the emergency department performance index (EDPI) at hospitals of Mashhad University of Medical Sciences (MUMS).
Materials and methods: In this cross-sectional study, changes in EDPI were investigated over a period of June 2013 to June 2014 (before the presence of resident specialists) and June 2014 to June 2015 (after the presence of resident specialists). All hospitals in MUMS which implemented the presence of resident specialists were selected by the census method. Hospital General Information Form was used to collect data. Information required were collected and recorded after obtaining the permission from the health department. After collection, data were analyzed by SPSS 19.
Results: The percentage of disposed patients within 6 hours before the presence of resident specialists was 80.96% and after the presence of resident specialists was 89.07%. The percentage of leaving the ED in 12 hours before the presence of resident specialists was 86.21% and after the presence of resident specialists was 88.76%.
Conclusion: According to the results, it can be concluded that the EDPI in hospitals of MUMS after the presence of resident specialists has shown a significant difference, and improved, except for those left ED in 12 hours.
Rad EH, Khodaparast M. Inequity in Health Care Financing in Iran: Progressive or Regressive Mechanism? Eurasian J Med 2016;48(2):112. DOI: 10.5152/eurasianjmed.2015.32.
Jafakesh mogadam A, Pournaghi S, et al. Study of speed of offering services in the educational hospitals of North Khorasan University of Medical Sciences in 2011. J North Khorasan Univ Med Sci 2013;5(2):307–313. DOI: 10.29252/jnkums.5.2.307.
Tabibi SJ, Najafi B, et al. Waiting time in the emergency department in selected hospitals of Iran University of Medical Sciences in 2007. Pejouhesh dar Pezeshki 2009;33(2):117–122.
Rad EH, Karyani AK, et al. Access and necessity for road emergency sites. Trauma Mon 2017;22(2):e27577.
Rad EH, Tavakkoli M. Road Fatalities and Their Determinants in Iran: Evidence From Panel Provincial Data. Arch Trauma Res 2017;6(2):e27791.
Yousefzadeh CS, Mohtasham AZ, et al. Patients discharged before and after presence of medical emergency specialists. J Holist Nurs 2014;24(1):64–70.
Haghdoust Z, Yahyavi M, et al. Effect of Triage Education on knowledge, attitude and practice of nurses in Poursina Educational and Therapeutic Emergency center in Rasht. J Holist Nurs 2010;20(2):14–21.
Baratloo A, Rahmati F, et al. Evaluation of performance indexes of emergency department. J Emerg Med 2015;2(1):33–38.
Maleki A, Sajadi SM, et al. Explanation and improvement performance indicators of the emergency system using discrete event simulation (Case study: Arak Imam Khomeini Hospital). Health Inf Manag J 2014;11(1):4–16.
Hashemi B, Baratloo A, et al. Emergency department performance indexes before and after establishment of emergency medicine. Emergency 2013;1(1):20.
Asadi P, Kasmaie VM, et al. Disposition of Patients Before and After Establishment of Emergency Medicine Specialists. Iran J Emerg Med 2014;1(1):28–33.
Moradi-Lakeh M, Vosoogh-Moghaddam A. Health sector evolution plan in Iran; equity and sustainability concerns. Int J Health Policy Manag 2015;4(10):637. DOI: 10.15171/ijhpm.2015.160.
Hatam N, Tourani S, et al. Estimating the relationship between economic growth and health expenditures in ECO countries using panel cointegration approach. Acta Med Iran 2016;54(2):102–106.
Rad EH, Hadian M, et al. Comparison the effects of health indicators on male and female labor supply, evidence from panel data of Eastern Mediterranean Countries 1995-2010. Iran J Public Health 2014;43(2):221.
Keikha F, Vahdani FG, et al. The effects of maternal opium abuse on fetal heart rate using non-stress test. Iran J Med Sci 2016;41(6):479.
Raadabadi M, Mobaraki H, et al. Investigtions the functional indicators change due to implementation information system in Sina hospital. JSUMS 2013;15(5):90–96.
Horwitz LI, Green J, et al. US emergency department performance on wait time and length of visit. Ann Emerg Med 2010;55(2):133–141. DOI: 10.1016/j.annemergmed.2009.07.023.
Jayaprakash N, O'Sullivan R, et al. Crowding and delivery of healthcare in emergency departments: the European perspective. West J Emerg Med 2009;10(4):233.
Movahednia S, Partovishayan Z, et al. A survey of timing indicators of emergency department at Firoozgar hospital: 2012. J Health Admin Educ 2013;16(51):95–102.
Javadzadeh HR, Davoudi A, et al. Assigning residents of emergency medicine to screen patients before admission: a strategy to overcome overcrowding. Trauma Mon 2012;16(4):191. DOI: 10.5812/traumamon.2923.
Montazar SH, Amooei M, et al. Results of CPR and contributing factor in emergency department of sari imam Khomeini hospital, 2011-2013. JMUMS 2014;24(111):53–58.