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Emergency Department Waiting Times and Determinants of Prolonged Length of Stay in a Botswana Referral Hospital

Open Journal of Emergency Medicine 2020年第3期8卷 59-70页

作者： Keatlaretse Siamisang John Thato Tlhakanelo bonolo bonnie mhaladi University of Botswana Gaborone Botswana Botswana Ministry of Health and Wellness Gaborone Botswana

Introduction: Emergency medicine is a critical component of quality public health service. In fact length of stay and waiting times in the Emergency department are key indicators of quality. The aim of this study was to determine waiting times and determinants of prolonged length of stay (LOS) in the Princess Marina Hospital Emergency Department. Methods: This was a retrospective observational study. It was done at Princess Marina, a referral hospital in Gaborone, Botswana. Triage forms of patients who presented between 19/11/ 2018 and 18/12/2018 were reviewed. Data from patient files was used to determine time duration from triage to being reviewed by a doctor, time duration from review by emergency doctor to patients’ disposition and the time duration from patient’s triage to disposition (length of stay). Prolonged length of stay was defined as duration > 6 hours. Results: A total of 1052 files repre- senting patients seen over a 1-month period were reviewed. 72.5% of the patients had a prolonged length of stay. The median emergency doctor waiting time was 4.5 hours (IQR 1.6 - 8.3 hours) and the maximum was 27.1 hours.

关键词： Emergency Department Waiting Times Prolonged Length of Stay Determinants

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Waiting Times and Length of Stay of Trauma Patients in a Botswana Referral Hospital Emergency Department

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Open Journal of Emergency Medicine 2022年第1期10卷 54-65页

作者： Keatlaretse Siamisang Kago Mokute bonolo bonnie mhaladi John Thato Tlhakanelo University of Botswana Gaborone Botswana Botswana Ministry of Health and Wellness Gaborone Botswana

Background: Mortality and morbidity due to trauma are a significant public health challenge. There is paucity of data on the waiting times and length of stay (LOS) of trauma patients in emergency departments in Botswana. The aim of this study was to determine the Emergency Department (ED) waiting times and LOS of trauma patients at Princess Marina Hospital in Gaborone, Botswana. Methods: This was a retrospective medical records review of waiting times (time from triage to review by ED medical officer) and LOS (time from triage to disposition from the emergency department). The waiting times for the different assigned acuities were assessed against the South African Triage System (SATS) standards. All trauma patients seen from 19/11/2018 to 18/12/2018 were included in the study. Prolonged length of stay was defined as duration > 6 hours. Categorical data was summarized with frequencies while numeric data was summarized with medians and interquartile ranges. Results: A total of 187 trauma patients’ files were analyzed. Of these, 72 (38.5%) were females. The median waiting time was 3.8 hours and the maximum was 19.2 hours. The median length of stay (LOS) was 8.8 hours with a maximum of 37.2 hours. Only 53 (28.3%) of the participants had a LOS of less than 6 hours. None of the emergent patients were seen immediately. Only 5 (4.0%) of the very urgent patients were seen within the target of 10 minutes. Finally, only 10 (20.4%) of urgent patients were seen within the target time of 1 hour. Conclusion: The waiting times and length of stay in Princess Marina Hospital were mostly above the recommended standards. Urgent interventions are needed to reduce waiting times and length of stay for trauma patients. More studies are needed to explore the sources of delay and investigate possible solutions to this public health challenge.

关键词： Emergency Department Waiting Times Length of Stay Trauma Botswana

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Emergency Department Waiting Times and Determinants of Prolonged Length of Stay in a Botswana Referral Hospital

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Open Journal of Emergency Medicine 2020年第3期

作者： Keatlaretse Siamisang John Thato Tlhakanelo bonolo bonnie mhaladi

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