UTILIZATION OF EMERGENCY DEPARTMENT, UKM MEDICAL CENTRE: PATTERN OF PATIENT

Authors

  • Wan Malissa Wan Mohd Aminuddin Department of Computational and Theoretical Sciences, Universiti Islam Antarabangsa Malaysia, Pahang, Malaysia
  • Wan Rosmanira Ismail School of Mathematical Sciences, Faculty of Science and Technology, Universiti Kebangsaan Malaysia, Selangor, Malaysia
  • Husyairi Harunarashid Department of Emergency Medicine, UKM Medical Centre, Kuala Lumpur, Malaysia
  • Raymond Azman Ali Department of Emergency Medicine, UKM Medical Centre, Kuala Lumpur, Malaysia
  • Ismail Mohd Saiboon Department of Emergency Medicine, UKM Medical Centre, Kuala Lumpur, Malaysia
  • Mohd Johar Jaafar Department of Emergency Medicine, UKM Medical Centre, Kuala Lumpur, Malaysia

DOI:

https://doi.org/10.11113/jt.v78.8297

Keywords:

Emergency department, ED attendances, ED overcrowding, pattern of patient

Abstract

An emergency department (ED) is a front door for a hospital where a huge number of patients visit the department to seek immediate treatment. This has led to ED overcrowding. A cross sectional study was conducted to determine the pattern of patients attending the ED in a public teaching hospital in Malaysia. 2013 daily census data contained 66,603 patients were used. In this study, 62.1% of ED attendances are non-critical case. They commonly utilized the ED in the early morning, during weekends, and early part of the week. In conclusion, non-critical patients are seen to be the most frequent ED users. They are commonly present at the ED with minor problems. Hence, ED management should implement various solving methods in order to educate such people regarding the real functions of an ED.

References

Refaie, A. A., R. H. Fouad, M.H. Li, and M. Shurrab. 2014. Applying Simulation and DEA to Improve Performance of Emergency Department in a Jordanian Hospital. Simulation Modelling Practice and Theory. 41:59-72.

Ministry of Health Malaysia. 2005. Malaysia’s health 2005 report. Ministry of Health Malaysia. Retrieved January 22, 2015,from http://www.moh.gov.my/images/gallery/publications/mh/MalaysiaHealth2005.pdf.

Kwa, P., and D. Blake. 2008. Fast Track: Has It Changed Patient Care in the Emergency Department?. Emergency Medicine Australasia. 20: 10-15.

Derlet, R. W., and J. R. Richards. 2000. Overcrowding in the Nation’s Emergency Departments: Complex Causes and Disturbing Effects. Ann Emerg Med. 35: 83-85.

Weiss, S. J., R. Derlet, J. Arndahl, A.A. Ernst, J. Richards, F. M. Fernandez, R. Schwab, T.O. Stair, P. Vicellio, D. Levy, M. Brautigan, A. Johnson, and T.G. Nick. 2004. Estimating the Degree of Emergency Department Overcrowding in Academic Medical Centers: Results of the National ED Overcrowding Study (NEDOCS). Acad Emerg Med. 11[1]: 38-50.

Kondro, W. 1998. Relief at a Price for Emergency Wards in Ontario. The Lancet. 352[9138]: 1451.

Lowthian, J. A., A.J. Curtis, P.A. Cameron, J. U. Stoelwinder, M.W. Cooke, and J.J. McNeil. 2010. Systematic Review of Trends in Emergency Department Attendances: An Australian Perspective. Emerg Med J. 1-5.

Shih, F. Y., M. H. Ming, S. C. Chen, H. P. Wang, C. C. Fang, R.S. Shyu, G.T. Huang, and S.M. Wang. 1999. ED Overcrowding in Taiwan: Facts and Strategies. American Journal of Emergency Medicine. 17[2]: 198–202.

Rehmani, R. 2004. Emergency Section and Overcrowding in a University Hospital of Karachi, Pakistan. Journal of Pakistan Medical Association. 54[5]: 233-236.

Amaral, T. M., and A.P.C. Costa. 2014. Improving Decision- Making and Management of Hospital Resources: An Application of the PROMETHEE II Method in an Emergency Department. Operation Research for Health Care. 3: 1-6.

Devkaran, S., H. Parsons, M. V. Dyke, J. Drennan, and J. Rajah. 2009. The Impact of a Fast Track Area on Quality and Effectiveness Outcomes: A Middle Eastern Emergency Department Perspective. BMC Emergency Medicine. 9[11]: 1-9.

Cowan, R.M., and S. Trzeciak. 2005. Critical Review: Emergency Department Overcrowding and the Potential Impact on The Critical Ill. Critical Care. 9: 291-295.

American College of Emergency Physicians. 2008. Emergency Department Crowding: High Impact Solutions. American College of Emergency Physicians. Retrieved January 21, 2015, from www.acep.org/workarea/DownloadAsset.aspx?id=50026.

Bakarman, M. A., and N. K. Njaifan. 2014. Assessment of Non- Emergency Cases Attending Emergency Department at King Fahad General Hospital, Jeddah; Pattern and Outcomes. Life Science Journal. 11[8]: 20-25.

Siddiqui, S., and D.O. Ogbeide. 2002. Utilization of Emergency Services in a Community Hospital. Saudi Med J. 23[1]: 69-72.

Lewis, H. 1988. Accident and Emergency Department Utilization: A Consumer Survey. N Z Med J. 101: 486-487.

Abraham, K. C. W., C. M. Chor, A. T. C. Lee, Y. Sittambunka, C.A. Graham, and T.H. Rainer. 2009. Analysis of Trends in Emergency Department Attendances, Hospital Admissions and Medical Staffing in a Hong Kong University Hospital: 5-Year Study. Int J Emerg Med. 2[3]:141–148.

Azhar, A.A. 2001. Salah Guna Jabatan Kecemasan. Mingguan Malaysia, Utusan.

Steele, S., D. Anstett and W.K. Milne. 2008. Rural Emergency Department Use by CTAS IV and V Patients. CJEM. 10[3]: 209-214.

Murphy, A. W. 1998. Inappropriate Attenders at Accident and Emergency Department: Definition, Incidence and Reason for Attendance. Journal Family Practice. 15[1]: 23-32.

Pereira, S., A.O.E. Silva, M. Quintas, J. Almeida, C. Marujo, M. Pizarro, V. Angelico, L. Fonseco, E. Loureiro, S. Barroso, A. Machado, M., Soares, A.B.D. Costa, and A. F. Freitas. 2001. Appropriateness of Emergency Department Visits in a Portuguese University Hospital. Annals of Emergency Medicine. 37: 580-586.

Najib Razak. 2015. Najib: Health, medical charges in M'sia cheapest in the world. The Star. Retrieved March 10, 2015 from www.thestar.com.my.

Selasawati, S.G., L. Naing, W.A.W. Aasim, T. Winn, and B.N. Rusli. 2004. Inappropriate Utilization of Emergency Department Services in Universiti Sains Malaysia Hospital. Med J Malaysia. 59[1]: 26-33.

Asaari, A. H. 2002. Bijak Guna Jabatan Kecemasan,Mingguan Wanita, Kumpulan Media Karangkraf.

Burnett, M. G., and S. A. Grover. 1996. Use of The Emergency Department for Nonurgent Care During Regular Business Hours. Can Med Assoc J. 54[9]: 1345-1351.

Masuri, M. G., K. A. M. Isa, and M. P. M. Tahir. 2001. Children, Youth and Road Environment: Road Traffic Accident. Asian Journal of Environment-Behaviour Studies. 2[6]: 13-20.

Morse, A. 2013. Emergency Admissions to Hospital: Managing the Demand. Retrieved November 19, 2014, from http://www.nao.org.uk/wpcontent/uploads/2013/10/10288-001-Emergency-admissions.pdf

Smith, J. 2013. 11 Ways to Beat the Monday Blues. Forbes. Retrieved February 27, 2015 from http://www.forbes.com/pictures/efkk45efmdi/11-ways-to-beat-the-monday-blues-2/.

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Published

2016-04-18

How to Cite

UTILIZATION OF EMERGENCY DEPARTMENT, UKM MEDICAL CENTRE: PATTERN OF PATIENT. (2016). Jurnal Teknologi (Sciences & Engineering), 78(4-4). https://doi.org/10.11113/jt.v78.8297