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Patient emergency acuity and length of stay in the emergency room

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KMID : 1128620100140010063
ÇѽÂÁÖ ( Han Seung-Joo ) - Áß¾Ó´ëÇб³º´¿ø °£È£ºÎ

±èÇýÁ¤ ( Kim Hye-Jung ) - Áß¾Ó´ëÇб³º´¿ø °£È£ºÎ
¼­ÇÑ¿µ ( Seo Han-Young ) - Áß¾Ó´ëÇб³º´¿ø °£È£ºÎ
¹éÀÚ¿¬ ( Baik Ja-Youn ) - Áß¾Ó´ëÇб³º´¿ø °£È£ºÎ
±è¼Ò¿¬ ( Kim So-Yeon ) - Áß¾Ó´ëÇб³º´¿ø °£È£ºÎ
±è¹Î¿µ ( Kim Min-Young ) - Áß¾Ó´ëÇб³º´¿ø °£È£ºÎ

Abstract

Purpose: The purpose of this study was to inestigate assistane time and in severtiy of the object person and a
stay timely distribution

Method: The research which sees severity of the assistance people helps in the medical emergency center
and knows a stay time and in order to see in the Seoul subject matter C university hospital emergency room from 2009 August until 2009 sus October analyzed the electronic medical record(EMR) 9,892 people of patients who assist.

Result: Study data was fallowing 1) The distribution of patients by path of visiting hospital was indicated to be in order of using a car with 8,154 people(82.4%), using 119 ambulance with 1,338 people(14.0%), using other hospital and 129 ambulance with 270 people(2.7%), and walking with 51 people (0.5%). Seeing severity, it was indicated to be emergency
with 8.3%, quasi-emergency with 88.4%, and non-emergency with 3.1%. 2) Seeing comparison of patients who visited hospital at the outpatient treatment time and the night treatment time, 4,722 people(47.7%) visited hospital during the outpatient treatment time. 3,147 people(31.8%) visited hospital from the time after the outpatient treatment was finished
to 24 o¡¯clock. Also, 2,023 people(20.5%) visited hospital from 0 o¡¯clock on next day to the time before the morning treatment is begun. 3) The average stay in the ER was 1.82 horus. The average stay time of each group was three hours two minutes for the emergency group, one hour eighty eight minutes for the sub-emergency group, one thirty eight for
the urgency group, eighty one minutes for the non-emergency group.

Conclusion: Synthesizing the above results, the necessity is considered for likely devising a system available
for managing these patients in order to minimize the use of emergency room in non-emergency patients at the emergency medical center, and the policy for efficient treatment available for substantially improving on a reason for delay in the staying patients.. The medical staffs need to strive to enhance quality of emergency medical service by continuing to analyze the management of quality on the inconveniences and the staying time in emergency patients.
KeyWords
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Triage, Length of stay, Time to visit hospital
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