A Predictive Model of Patient Transfer Waiting Time from the Emergency Installation (ER) to the Inpatient Room
DOI:
https://doi.org/10.37287/ijghr.v8i1.1192Keywords:
ER factors, system factors, waiting timeAbstract
The waiting time for patient transfer from the Emergency Department (ER) to the inpatient ward is an important indicator in hospital health services. This process reflects the efficiency and effectiveness of the service flow, and can affect patient satisfaction, safety, and overall service quality. Delays in patient transfer are often a problem that has the potential to increase the risk of medical complications, prolong the length of stay, and increase the workload of health workers. This study aims to determine the predictive factors for patient transfer time from the ER to the inpatient (a case study in the ER Room of Dr. M. Djamil Padang General Hospital. This study uses an observational analytical quantitative research design with a cross-sectional approach. The sampling technique in this study is proportional random sampling. The sample consisted of all 283 patients transferred from the Emergency Department (ER) to the ward at Dr. M. Djamil Padang General Hospital, with specified inclusion and exclusion criteria. Data were collected through interviews and observations. Bivariate data analysis used Smart PLS to determine predictive factors for patient transfer waiting time from the ER to the ward. The results showed that ER factors significantly influenced System Factors and Room Factors, but did not directly influence patient transfer time.
References
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Handayani, L., & Suryanto. (2020). Faktor yang memengaruhi waktu tunggu IGD. Jurnal Keperawatan Indonesia, 23(1), 45–53.
Hoot, N. R., & Aronsky, D. (2008). Systematic review of emergency department crowding. Academic Emergency Medicine, 15(6), 506–515.
Institute of Medicine. (2007). Hospital-based emergency care: At the breaking point. National Academies Press.
Khanna, S., Boyle, J., Good, N., & Lind, J. (2016). New emergency department quality measure: Emergency department length of stay. Emergency Medicine Australasia, 28(5), 546–550.
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Liu, S. W., Thomas, S. H., Gordon, J. A., & Henneman, P. L. (2009). Undesirable events among emergency department-boarded patients. Annals of Emergency Medicine, 54(3), 381–385.
McCarthy, M. L., Zeger, S. L., Ding, R., Levin, S. R., Desmond, J. S., Lee, J., & Aronsky, D. (2009). Crowding delays treatment. Annals of Emergency Medicine, 54(4), 492–503.
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Sarstedt, M., Hair, J. F., Cheah, J. H., Becker, J. M., & Ringle, C. M. (2019). Higher-order constructs in PLS-SEM. Australasian Marketing Journal, 27(3), 197–211.
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Shoham, S., & Adler, A. (2015). Hospital bed management. Journal of Hospital Administration, 4(3), 1–8.
Singer, A. J., Thode, H. C., Viccellio, P., & Pines, J. M. (2011). The association between length of ED boarding and mortality. Academic Emergency Medicine, 18(12), 1324–1329.
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Sun, B. C., Hsia, R. Y., Weiss, R. E., Zingmond, D., Liang, L. J., Han, W., & Asch, S. M. (2013). Effect of emergency department crowding on outcomes. Annals of Emergency Medicine, 61(6), 605–611.
Thomas, J. W., Guire, K. E., & Horvat, G. G. (1997). Is patient length of stay related to quality of care? Hospital & Health Services Administration, 42(4), 489–507.
Wiler, J. L., Welch, S., Pines, J., Schuur, J., Jouriles, N., & Stone-Griffith, S. (2015). Emergency department performance measures. Annals of Emergency Medicine, 66(4), 409–426.
Widodo, S. (2019). Analisis waktu tunggu pasien di IGD. Jurnal Manajemen Pelayanan Kesehatan, 22(2), 85–92.
World Health Organization. (2016). Emergency care systems framework. WHO Press.
World Health Organization. (2018). Delivering quality health services. WHO Press.
Yin, R. K. (2018). Case study research and applications (6th ed.). Sage Publications.
Zylstra, R. G., & Kirsch, T. D. (2015). Emergency department crowding and boarding. Emergency Medicine Clinics of North America, 33(3), 599–608
Asplin, B. R., Magid, D. J., Rhodes, K. V., Solberg, L. I., Lurie, N., & Camargo, C. A. (2003). A conceptual model of emergency department crowding. Annals of Emergency Medicine, 42(2), 173–180. https://doi.org/10.1067/mem.2003.302
Boudi, Z., Lauque, D., Alsabri, M., Östlundh, L., Oneyear, C., & Khayath, N. (2020). Association between boarding in the emergency department and in-hospital mortality: A systematic review. International Journal of Emergency Medicine, 13(1), 1–9.
Chalfin, D. B., Trzeciak, S., Likourezos, A., Baumann, B. M., & Dellinger, R. P. (2007). Impact of delayed transfer of critically ill patients from the emergency department to the intensive care unit. Critical Care Medicine, 35(6), 1477–1483.
Creswell, J. W., & Creswell, J. D. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). Sage Publications.
Donabedian, A. (2003). An introduction to quality assurance in health care. Oxford University Press.
Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18(1), 39–50.
Forster, A. J., Murff, H. J., Peterson, J. F., Gandhi, T. K., & Bates, D. W. (2003). The incidence and severity of adverse events affecting patients after discharge from the hospital. Annals of Internal Medicine, 138(3), 161–167.
Green, L. V. (2004). Capacity planning and management in hospitals. Operations Research, 52(1), 1–11.
Hair, J. F., Hult, G. T. M., Ringle, C. M., & Sarstedt, M. (2017). A primer on partial least squares structural equation modeling (PLS-SEM) (2nd ed.). Sage Publications.
Hair, J. F., Risher, J. J., Sarstedt, M., & Ringle, C. M. (2019). When to use and how to report the results of PLS-SEM. European Business Review, 31(1), 2–24.
Handayani, L., & Suryanto. (2020). Faktor yang memengaruhi waktu tunggu IGD. Jurnal Keperawatan Indonesia, 23(1), 45–53.
Hoot, N. R., & Aronsky, D. (2008). Systematic review of emergency department crowding. Academic Emergency Medicine, 15(6), 506–515.
Institute of Medicine. (2007). Hospital-based emergency care: At the breaking point. National Academies Press.
Khanna, S., Boyle, J., Good, N., & Lind, J. (2016). New emergency department quality measure: Emergency department length of stay. Emergency Medicine Australasia, 28(5), 546–550.
Kementerian Kesehatan Republik Indonesia. (2017). Peraturan Menteri Kesehatan Republik Indonesia Nomor 40 Tahun 2017 tentang Pengembangan Jenjang Karir Profesional Perawat Klinis. Kemenkes RI.
Kementerian Kesehatan Republik Indonesia. (2022). Standar Nasional Akreditasi Rumah Sakit (SNARS). Kemenkes RI.
Kripalani, S., LeFevre, F., Phillips, C. O., Williams, M. V., Basaviah, P., & Baker, D. W. (2007). Deficits in communication and information transfer. JAMA, 297(8), 831–841.
Liu, S. W., Thomas, S. H., Gordon, J. A., & Henneman, P. L. (2009). Undesirable events among emergency department-boarded patients. Annals of Emergency Medicine, 54(3), 381–385.
McCarthy, M. L., Zeger, S. L., Ding, R., Levin, S. R., Desmond, J. S., Lee, J., & Aronsky, D. (2009). Crowding delays treatment. Annals of Emergency Medicine, 54(4), 492–503.
Ministry of Health Republic of Indonesia. (2020). Hospital performance indicators. MoH RI.
Moskop, J. C., Sklar, D. P., Geiderman, J. M., Schears, R. M., & Bookman, K. J. (2009). Emergency department crowding, part 1. Annals of Emergency Medicine, 53(5), 605–611.
Nugroho, H. S. W. (2018). Metodologi penelitian kesehatan. Nuha Medika. Prasetyo, A., & Lestari, D. (2021). Manajemen tempat tidur dan lama rawat. Jurnal Administrasi Rumah Sakit, 7(2), 101–109.
Pines, J. M., Pollack, C. V., Diercks, D. B., Chang, A. M., Shofer, F. S., & Hollander, J. E. (2011). The association between emergency department crowding and adverse cardiovascular outcomes. Academic Emergency Medicine, 18(1), 24–30.
Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer.
Ringle, C. M., Wende, S., & Becker, J. M. (2015). SmartPLS 3. SmartPLS GmbH.
Salway, R., Valenzuela, R., Shoenberger, J., Mallon, W., & Viccellio, P. (2017). Emergency department crowding. Western Journal of Emergency Medicine, 18(2), 213–219.
Sarstedt, M., Hair, J. F., Cheah, J. H., Becker, J. M., & Ringle, C. M. (2019). Higher-order constructs in PLS-SEM. Australasian Marketing Journal, 27(3), 197–211.
Sayah, A., Rogers, L., Devarajan, K., Kingsley-Rocker, L., & Lobon, L. F. (2014). Minimizing ED waiting times. BMJ Open Quality, 3(1), e000018.
Shoham, S., & Adler, A. (2015). Hospital bed management. Journal of Hospital Administration, 4(3), 1–8.
Singer, A. J., Thode, H. C., Viccellio, P., & Pines, J. M. (2011). The association between length of ED boarding and mortality. Academic Emergency Medicine, 18(12), 1324–1329.
Sugiyono. (2019). Metode penelitian kuantitatif, kualitatif, dan R&D. Alfabeta.
Sun, B. C., Hsia, R. Y., Weiss, R. E., Zingmond, D., Liang, L. J., Han, W., & Asch, S. M. (2013). Effect of emergency department crowding on outcomes. Annals of Emergency Medicine, 61(6), 605–611.
Thomas, J. W., Guire, K. E., & Horvat, G. G. (1997). Is patient length of stay related to quality of care? Hospital & Health Services Administration, 42(4), 489–507.
Wiler, J. L., Welch, S., Pines, J., Schuur, J., Jouriles, N., & Stone-Griffith, S. (2015). Emergency department performance measures. Annals of Emergency Medicine, 66(4), 409–426.
Widodo, S. (2019). Analisis waktu tunggu pasien di IGD. Jurnal Manajemen Pelayanan Kesehatan, 22(2), 85–92.
World Health Organization. (2016). Emergency care systems framework. WHO Press.
World Health Organization. (2018). Delivering quality health services. WHO Press.
Yin, R. K. (2018). Case study research and applications (6th ed.). Sage Publications.
Zylstra, R. G., & Kirsch, T. D. (2015). Emergency department crowding and boarding. Emergency Medicine Clinics of North America, 33(3), 599–608
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