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Patients who leave without being seen: Al Wakra Hospital experience and analysis of associated factors

机译:无人离开的患者:Al Wakra医院的经验和相关因素分析

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Background: The rate of patients who arrive at the Emergency Department (ED) but leave before being seen (LWBS) is considered an important marker of the quality of care. Objectives: To evaluate the rate of LWBS at ED in Al Wakra Hospital (AWH) and to identify predictive factors associated with LWBS. Methods: This was a retrospective study of patients who left the Emergency Department without being seen by physicians between January 1, 2015 and May 31, 2015. Factors associated with LWBS such as the age, sex, time of the day, day of the week, median ED waiting times and common ED presentation were analyzed. Results: Out of 95,375 patient visits; there were 426 cases of LWBS over the 5-month period. The highest rate of LWBS was seen on the month of March. Independent factors associated with LWBS patients include patients who are middle age (19-43 years), female (56%), and patients being presented at non-critical areas (100%), night shift visits (46%), on weekend (52.8%). Musculoskeletal complaint was the most frequent complaint associated with LBWS (31%) and the median waiting time was 45 minutes among LBWS patients. Conclusion: The rate of patients leaving without being seen at ED in AWH is very low. More investigations need to be conducted to improve LWBS rate during night and weekends.
机译:背景:到达急诊室(ED)但不见就离开(LWBS)的患者比例被认为是护理质量的重要标志。目的:评估Al Wakra医院(AWH)急诊中LWBS的发生率,并确定与LWBS相关的预测因素。方法:这是一项回顾性研究,研究对象为2015年1月1日至2015年5月31日之间没有被医师看诊而离开急诊科的患者。与LWBS相关的因素,例如年龄,性别,一天中的时间,一周中的一天,中位ED等待时间和常见ED表现进行了分析。结果:95,375位患者就诊;在过去5个月中,有426例LWBS。三月份,LWBS的发生率最高。与LWBS患者相关的独立因素包括中年(19-43岁),女性(56%)和非危重区域就诊(100%),夜班就诊(46%),周末(52.8%)。肌肉骨骼疾病是与LBWS相关的最常见症状(31%),中位等待时间为LBWS患者中的45分钟。结论:AWH中没有在ED处看到的患者离开的比率非常低。需要进行更多调查以提高夜间和周末的LWBS率。

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