Recording The Door-To-Consultation Time for Patients Presenting to the Emergency Unit-A Clinical Audit and Re-Audit

Maheen Shahid; Muhammad Osama Farooq; Javeria Kamran

doi:10.51253/pafmj.v75iSUPPL-3.12100

Authors

Maheen Shahid Department of Research & Development, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/ National University of Medical Sciences (NUMS) Rawalpindi, Pakistan
Muhammad Osama Farooq Department of Research & Development, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/ National University of Medical Sciences (NUMS) Rawalpindi, Pakistan
Javeria Kamran Department of Research & Development, Armed Forces Institute of Cardiology/National Institute of Heart Diseases/ National University of Medical Sciences (NUMS) Rawalpindi, Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75iSUPPL-3.12100

Keywords:

Audit, Door-to-consultation time, Emergency unit

Abstract

This Audit was focussed to assess the Door-To-Consultation time of patients who presented in emergency department, in accordance with NICE guidelines. Each audit cycle consisted of two months during which all patients presenting to the Emergency Department were assessed. Total 200 patients were assessed in each cycle. A re-audit was conducted 1 year later. Study was conducted at Armed Forces Institute of Cardiology/National Institute of Heart Diseases, Rawalpindi Pakistan, from Dec 2022 to Jan 2023 and Feb to Mar 2024. In the first cycle, 129(64.5%) patients were attended within 15 minutes of arrival in the emergency department while in the second cycle, 158(79.0%) patients had a door to consultation time within 15 minutes. The repeat audit cycle demonstrated a moderate improvement in door-to-consultation times following weekly health education of ED staff on triage processes and target consultation times. Additionally, guideline posters were displayed inside and outside the ED for four weeks to reinforce these objectives.

Downloads

Download data is not yet available.

References

Shen Y, Lee LH. Improving the wait time to triage at the emergency department. BMJ Open Qual 2020; 9(1):e000708.

https://10.1136/bmjoq-2019-00070

Khan A, Javaid R, Pervaiz F, Asad M, Chaudhry IA, Muzaffar T, et al. An Assessment of Door to Consultation Time in Outpatient Department (OPD) of a Tertiary Care Cardiac Hospital: A Clinical Quality Improvement Project (QIP). Pak Armed Forces Medical J 2022; 72(3): S673-677.

https://10.51253/pafmj.v72iSUPPL-3.9581

NHS England. Guidance for emergency departments: initial assessment [Internet]. Available at:

https://www.england.nhs.uk/guidance-for-emergency-departments-initial-assessment/.2023

Löflath V, Hau EM, Garcia D, Berger S, Löllgen R. Parental satisfaction with waiting time in a Swiss tertiary paediatric emergency department. Emerg Med J 2021; 38(8): 617-623.

https://10.1136/emermed-2019-208616

Yancey CC, O'Rourke MC. Emergency Department Triage. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing/2022

Kienbacher CL, Steinacher A, Fuhrmann V, Herkner H, Laggner AN, Roth D. Factors influencing door-to-triage-and triage-to-patient administration-time. Australas Emerg Care 2022; 25(3): 219-223. https://10.1016/j.auec.2022.01.001

DeVon HA, Mirzaei S, Zègre‐Hemsey J. Typical and atypical symptoms of acute coronary syndrome: time to retire the terms?. J Am Heart Assoc 2020; 9(7): e015539.

https://10.1161/JAHA.119.015539