Analysis of Triage Application in Emergency Department
Affiliation(s)
Hitit University Çorum Education and Research Hospital, Department of Emergency Medicine, Çorum, Turkey.
Hitit University Çorum Education and Research Hospital, Department of Emergency Medicine, Çorum, Turkey.
ABSTRACT
Objectives: In this study, we aimed to determine the current status of Green Zone (GZ) application in our Emergency Department (ED). We also sought workload and economic burden of GZ on both healthcare providers and health system. Methods: We analyzed the medical data of patients admitted to the GZ of our ED in a three-year period. Demographical characteristics, complaints on admission, number of revisits and economical cost of the patients were determined. Results: During 3-year period a total of ~900,000 patients were admitted to Hitit University Corum Education and Research Hospital ED. Of these patients, 87,089 patients were treated in GZ. Upper respiratory system disease was the leading complaint on admission. Mean length of stay in ED for these patients was found to be 22.2 minutes. When repeated visits were investigated, it was found that 3029 patients presented twice to the GZ. Conclusion: Certain measures to reduce number of non-emergent patients presenting to ED must be taken immediately. Or else, dissatisfaction of both healthcare providers and patients shall remain as a potential cause of unwanted events in over-crowded EDs in the future.
Objectives: In this study, we aimed to determine the current status of Green Zone (GZ) application in our Emergency Department (ED). We also sought workload and economic burden of GZ on both healthcare providers and health system. Methods: We analyzed the medical data of patients admitted to the GZ of our ED in a three-year period. Demographical characteristics, complaints on admission, number of revisits and economical cost of the patients were determined. Results: During 3-year period a total of ~900,000 patients were admitted to Hitit University Corum Education and Research Hospital ED. Of these patients, 87,089 patients were treated in GZ. Upper respiratory system disease was the leading complaint on admission. Mean length of stay in ED for these patients was found to be 22.2 minutes. When repeated visits were investigated, it was found that 3029 patients presented twice to the GZ. Conclusion: Certain measures to reduce number of non-emergent patients presenting to ED must be taken immediately. Or else, dissatisfaction of both healthcare providers and patients shall remain as a potential cause of unwanted events in over-crowded EDs in the future.
Cite this paper
Erenler, A. , Özel, İ. , Ece, Y. , Karabulut, M. , Oruçoğlu, A. and Çiftçi, E. (2015) Analysis of Triage Application in Emergency Department. Open Journal of Emergency Medicine, 3, 13-17. doi: 10.4236/ojem.2015.33003.
Erenler, A. , Özel, İ. , Ece, Y. , Karabulut, M. , Oruçoğlu, A. and Çiftçi, E. (2015) Analysis of Triage Application in Emergency Department. Open Journal of Emergency Medicine, 3, 13-17. doi: 10.4236/ojem.2015.33003.
References
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http://dx.doI.org/10.5505/1304.7361.2014.48802 [3] AkpInar, A.T. and Tas, Y. (2011) A Research to DetermIne the RelatIonshIp between Level of Burnout and Job SatIsfactIon In Emergency Department Personnel. TurkIsh Journal of Emergency MedIcIne, 11, 161-165.
http://dx.doI.org/10.5505/1304.7361.2011.89804 [4] Köse, A., Köse, B., Öncu, M.R. and Tugrul, F. (2011) AdmIssIon ApproprIateness and ProfIle of the PatIents Attended to a State HospItal Emergency Department. GazIantep MedIcal Journal, 17, 57-62.
http://dx.doI.org/10.5455/GMJ-30-2011-27 [5] Taylor, C. and Benger, J.R. (2004) PatIent SatIsfactIon In Emergency MedIcIne. Emergency MedIcIne Journal, 21, 528-532.
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http://dx.doI.org/10.5505/1304.7361.2012.55823 [8] Oktay, C., Cete, Y., Eray, O., PekdemIr, M. and GunerlI, A. (2003) ApproprIateness of Emergency Department VIsIts In a TurkIsh UnIversIty HospItal. CroatIan MedIcal Journal, 44, 585-591. [9] KIlI&ccedIl;aslan, I., Bozan, H., Oktay, C., et al. (2005) DemographIc PropertIes of PatIents PresentIng to the Emergency Department In Turkey. TurkIsh Journal of Emergency MedIcIne, 5, 5-13. [10] ZeytIn, A.T., CevIk, A.A., Acar, N., Kaya, S. and OzcelIk, H. (2014) CharacterIstIcs of PatIents PresentIng to the AcademIc Emergency Department In Central AnatolIa. TurkIsh Journal of Emergency MedIcIne, 14, 75-81.
http://dx.doI.org/10.5505/1304.7361.2014.91489 [11] Turkdogan, K.A., Kap&ccedIl;I, M., AkpInar, O., Duman, A., Bacakoglu, G., Turkdogan, F.T., et al. (2013) DemographIc CharacterIstIcs of PatIents a State HospItal Emergency ServIce: Meta-AnalysIs of 2011. Journal of ClInIcal and ExperImental InvestIgatIons, 4, 274-278.
http://dx.doI.org/10.5799/ahInjs.01.2013.03.0283 [12] GultekIn Akkaya, E., Bulut, M. and Akkaya, C. (2012) The Factors AffectIng the Level of PatIents’ SatIsfactIon of the ApplIcants for Emergency ServIce. TurkIsh Journal of Emergency MedIcIne, 12, 62-68.
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[1] Satar, S., Cander, B., AvcI, A., A&ccedIl;IkalIn, A., Orak, M., A&ccedIl;In, M., et al. (2013) Why SpecIalIty In Emergency MedIcIne Is Not Preferred? Journal of AcademIc Emergency MedIcIne, 12, 234-236.
http://dx.doI.org/10.5152/jaem.2013.21548 [2] Erenler, A.K., Akbulut, S., Guzel, M., CetInkaya, H., Karaca, A., Turkoz, B., et al. (2014) Reasons of OvercrowdIng In the Emergency Department: ExperIences and SuggestIons of an EducatIon And Research HospItal. TurkIsh Journal of Emergency MedIcIne, 14, 59-63.
http://dx.doI.org/10.5505/1304.7361.2014.48802 [3] AkpInar, A.T. and Tas, Y. (2011) A Research to DetermIne the RelatIonshIp between Level of Burnout and Job SatIsfactIon In Emergency Department Personnel. TurkIsh Journal of Emergency MedIcIne, 11, 161-165.
http://dx.doI.org/10.5505/1304.7361.2011.89804 [4] Köse, A., Köse, B., Öncu, M.R. and Tugrul, F. (2011) AdmIssIon ApproprIateness and ProfIle of the PatIents Attended to a State HospItal Emergency Department. GazIantep MedIcal Journal, 17, 57-62.
http://dx.doI.org/10.5455/GMJ-30-2011-27 [5] Taylor, C. and Benger, J.R. (2004) PatIent SatIsfactIon In Emergency MedIcIne. Emergency MedIcIne Journal, 21, 528-532.
http://dx.doI.org/10.1136/emj.2002.003723 [6] Mahsanlar, Y., Parlak, I., Yolcu, S., Akay, S., DemIrtas, Y. and EryIgIt, V. (2014) Factors AffectIng the Length of Stay of PatIents In Emergency Department ObservatIon UnIts at TeachIng and Research HospItals In Turkey. TurkIsh Journal of Emergency MedIcIne, 14, 3-8.
http://dx.doI.org/10.5505/1304.7361.2014.58224 [7] ZengIn, S., Al, B., Yavuz, E., Sen, C., CIndoruk, S. and YIldIrIm, C. (2012) PatIent and RelatIve ComplaInts In a HospItal Emergency Department: A 4-Year AnalysIs. TurkIsh Journal of Emergency MedIcIne, 12, 163-168.
http://dx.doI.org/10.5505/1304.7361.2012.55823 [8] Oktay, C., Cete, Y., Eray, O., PekdemIr, M. and GunerlI, A. (2003) ApproprIateness of Emergency Department VIsIts In a TurkIsh UnIversIty HospItal. CroatIan MedIcal Journal, 44, 585-591. [9] KIlI&ccedIl;aslan, I., Bozan, H., Oktay, C., et al. (2005) DemographIc PropertIes of PatIents PresentIng to the Emergency Department In Turkey. TurkIsh Journal of Emergency MedIcIne, 5, 5-13. [10] ZeytIn, A.T., CevIk, A.A., Acar, N., Kaya, S. and OzcelIk, H. (2014) CharacterIstIcs of PatIents PresentIng to the AcademIc Emergency Department In Central AnatolIa. TurkIsh Journal of Emergency MedIcIne, 14, 75-81.
http://dx.doI.org/10.5505/1304.7361.2014.91489 [11] Turkdogan, K.A., Kap&ccedIl;I, M., AkpInar, O., Duman, A., Bacakoglu, G., Turkdogan, F.T., et al. (2013) DemographIc CharacterIstIcs of PatIents a State HospItal Emergency ServIce: Meta-AnalysIs of 2011. Journal of ClInIcal and ExperImental InvestIgatIons, 4, 274-278.
http://dx.doI.org/10.5799/ahInjs.01.2013.03.0283 [12] GultekIn Akkaya, E., Bulut, M. and Akkaya, C. (2012) The Factors AffectIng the Level of PatIents’ SatIsfactIon of the ApplIcants for Emergency ServIce. TurkIsh Journal of Emergency MedIcIne, 12, 62-68.
http://dx.doI.org/10.5505/1304.7361.2012.67689 [13] MahmoodIan, F., EqtesadI, R. and GhareghanI, A. (2014) WaItIng TImes In Emergency Department After UsIng the Emergency SeverIty Index TrIage Tool. ArchIves of Trauma Research, 7, ArtIcle ID: e19507.