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KMID : 0385920170280060564
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Journal of the Korean Society of Emergency Medicine
2017 Volume.28 No. 6 p.564 ~ p.571
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Effect of Hospitalization Decision by Emergency Physicians on Patient’s Emergency Department Length of Stay: Before and After Study using Historical Control
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Choi Hyun-Soo
Ryu Seung
Cho Yong-Chul
Jeong Won-Joon
Cho Sung-Uk
Ahn Hong-Joon
Joo Ki-Hyuk
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Abstract
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Purpose: This study analyzed the effects of the hospitalization decisions made by emergency physicians (EP) on the emergency department length of stay (ED-LOS).
Method: From March 2016, the hospitalization decisions of six internal medicine departments were made by EP, which has been implemented gradually since 2015. Through a retrospective electronic record review, the ED-LOS between EP hospitalization decision departments (group A) and others (group B) was analyzed and the ED-LOS before and after the hospitalization decision method change was compared (2014 vs. 2016).
Results: Compared to 2014, in 2016, the ED-LOS in departments that hospitalization decision made by EP was reduced significantly (median with interquartile range; 478.0 minutes [319.0 to 900.5 minutes] vs. 259.0 minutes [177.0 to 384.0 minutes]; p<0.001). In addition, the ED-LOS in Group A was reduced more than in Group B (219.0 minutes (45.8%) vs. 30.0 minutes (10.2%).
Conclusion: ED-LOS can be reduced by the EP hospitalization decisions.
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KEYWORD
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Emergency service, Hospitals, Length of stay, Hospitalization
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