Investigating the Relationship between How a chief Complaint Is Expressed and the Patient Workflow

Abstract

In previous studies, the workflow of Emam Reza Hospital Emergency Situations Center as a Northwestern and East Azarbaijan province often focused on bottlenecks and hospital admissions and management (9, 10) but considering this Studies have been old and after these studies the Health Transformation Plan has been implemented by the Ministry of Health and the hospital workflow has changed and the public hospitals have become very crowded and the bottlenecks appear to be changed so there is a need to review bottlenecks under new conditions and plan to reduce bed occupancy and rates. Hospitalization is necessary. Methods: For non-traumatic patients referred to emergency department of Imam Reza Hospital during 2018, 57,000 persons were selected and enrolled in the study. Then age, sex, initial diagnosis, time of assignment and time of discharge and The inpatient ward was included in the checklist. Patients whose documentation was excluded from the study were excluded. Then the data were entered into SPSS 15.0 statistical software and descriptive statistics (normal distribution, mean time, minimum time and maximum time, confidence interval and median .....) were used for descriptive analysis. Data were analyzed using linear regression.

Results: There was a significant relationship between the main complaint and the length of stay in the emergency department (Pv = 0.046) and patients with dyspnea in the field of heart disease, vomiting, bloody burst, abdominal dysfunction, jaundice, anemia, Decreased level of consciousness, diabetes and complications of diabetes, shortness of breath and discomfort all stay in the emergency room longer than other complaints or average stay.