Pre-Admission Patient Treatment Times in The Emergency Room Silas Beach Hays Army Community Hospital
Final rept. Jul 1991-Jul 1992
SILAS B HAYS ARMY HOSPITAL FORT ORD CA
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The author conducted a retrospective study to identify variables that influence the length of the total time needed to admit patients via the Emergency Room ER at an, Army medical treatment facility. Total time was an aggregate measurement that included all registration, triage, and diagnosis treatment times. The dependent variable was the total time fourteen independent variables were investigated. Three variables the patients triage category, the admitting service, and the ER census demonstrated statistically significant influences on the total time required for admission. The author employed a retrospective chart audit of 895 admissions via the Level 11 ER at a 128-bed Army community hospital between July and December 1991. Objective data were abstracted from records of admitted patients. The ER Standard Forms were the main data source, augmented by administrative reports. Personal computers and statistical software were employed to build and analyze the database. In addition to identifying variables of influence, the study also produced a detailed descriptive analysis of ER admissions during the study period. The study results have been submitted as the basis for the ERs standard of care with respect to preadmission treatment times. Finally, the study has demonstrated the broad potential of site-based data collection and will be used as a catalyst to automate some of the ERs documentation.
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