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Patient throughput times and inflow patterns in Swedish emergency departments: A basis for ANSWER, A National SWedish Emergency Registry
Emergency Medicine, Department of Clinical Sciences at Lund, Lund University, Sweden.
Karolinska Institutet, Department of Clinical Sciences and Education and Section of Emergency Medicine, Södersjukhuset, Stockholm, Sweden.
Karolinska Institutet, Medical Management Centre, Stockholm, Sweden.
HEMA-Institute, BIT Research Centre, Aalto University, Finland.
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2011 (English)In: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, ISSN 1757-7241, E-ISSN 1757-7241, Vol. 19, 37Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: Quality improvement initiatives in emergency medicine (EM) often suffer from a lack of benchmarking data on the quality of care. The objectives of this study were twofold: 1. To assess the feasibility of collecting benchmarking data from different Swedish emergency departments (EDs) and 2. To evaluate patient throughput times and inflow patterns.

METHOD: We compared patient inflow patterns, total lengths of patient stay (LOS) and times to first physician at six Swedish university hospital EDs in 2009. Study data were retrieved from the hospitals' computerized information systems during single on-site visits to each participating hospital.

RESULTS: All EDs provided throughput times and patient presentation data without significant problems. In all EDs, Monday was the busiest day and the fewest patients presented on Saturday. All EDs had a large increase in patient inflow before noon with a slow decline over the rest of the 24 h, and this peak and decline was especially pronounced in elderly patients. The average LOS was 4 h of which 2 h was spent waiting for the first physician. These throughput times showed a considerable diurnal variation in all EDs, with the longest times occurring 6-7 am and in the late afternoon.

CONCLUSION: These results demonstrate the feasibility of collecting benchmarking data on quality of care targets within Swedish EM, and form the basis for ANSWER, A National SWedish Emergency Registry.

Place, publisher, year, edition, pages
BioMed Central, 2011. Vol. 19, 37
Keyword [en]
Emergency department; Quality measures; Quality of care; Throughput times; Registry
National Category
Anesthesiology and Intensive Care
Identifiers
URN: urn:nbn:se:oru:diva-59278DOI: 10.1186/1757-7241-19-37ISI: 000292937600001PubMedID: 21668987Scopus ID: 2-s2.0-79958276782OAI: oai:DiVA.org:oru-59278DiVA: diva2:1135591
Note

Funding Agencies:

Region Skåne  

Stockholm County Council  

Swedish Association of Local Authorities and Regions 

Available from: 2017-08-23 Created: 2017-08-23 Last updated: 2017-10-18Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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