Relationship of Emergency Department Crowding with Quality of Care in Patients with Pain referred to Tabriz Educational Centers, 2017

Abstract

Abstract: Introduction: Currently, among the fifth vital signs, pain is one of the most common complaints of patients referring to emergency departments. Pain can be considered as a guideline for care providers who manage the extent and manner of emergency services. Hospital emergencies are one of the most important and risky parts of the hospital and its performance can have a great impact on other wards and patient satisfaction. The emergency department of each center is one of the most important criteria for evaluating the role of the hospital in serving people. This enormous volume of admissions makes the relationship between the patient and the medical staff limited, increasing the likelihood of medical errors and the patient's waiting time for medical care. Therefore, evaluation of hospital emergency department performance is of great importance. Materials & Methods: This study was a descriptive-correlational study on all patients referred to the Emergency Department of Tabriz University of Medical Sciences in the past 6 months with a history of severe pain. Indirect observation (hidden-observation form) was used to collect data. In the observation method, in order to increase the accuracy of the data, the observation was made indirectly (hidden) so that the nurses under observation were not aware of the time of in-person observation Results: The results of this study showed that emergency crowding had no effect on the quality of care for patients with pain and the quality of nursing care was well reported. And inadequate medical personnel especially nurses, lack of adequate beds and hospital equipment and lack of specialist doctors can cause traffic congestion and emergency department Discussion & Conclusion: The results of the present study showed that emergency department congestion had no effect on the quality of care for patients with pain and the quality of nursing care was well reported. Patients were not affected by crowding