Analysis of Patients' Surgery Wait Time on Emergency Room

Thursday, July 14, 2011

Hui Zhu Chen, MSN, RN1
Shu Yuan Chang, PhD, RN2
LI Chin Chen, MSN, RN3
Shung Mei Pan, MSN, RN3
(1)Department of Nursing, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan
(2)Nursing Department, Fooyin University, Taiwan
(3)Department of Nursing, Kaohsiung Municipal Ta-Tung Hospital, Taiwan

Learning Objective 1: The learner will be able to the primary cause of postponing patients’ surgery waiting time in the emergency room.

Learning Objective 2: The learner will be able to "Taiwan Healthcare Indicator Series”, emergency surgery’s waiting time must be less than 30 minutes.

Background: According to the suggestion of the “Taiwan Healthcare Indicator Series”, emergency surgery’s waiting time

must be less than 30 minutes. However, the waiting time of emergency surgery is usually prolonged; and it not only

affects the patient's rights but have also delays medical treatment of patients.

Objective: This study analyzes the primary cause of postponing patients’ surgery waiting time in the emergency room.

Method: A total of 476 emergency surgical cases investigated from January to June 2009. 281(p=59.0%), whose

emergency surgery’s waiting time was longer than 30 minutes. The primary causes of the postponing of the emergency

surgery were analyzed.

Result: In this research, two factors of postponing the patients’ surgery waiting time were found, including the staff factor

and equipment factor. The main causes include patient’s lack of time for NPO(n=80, p=28.5%), the lack of free

emergency operation rooms(n=64, p=22.8%) and busy physicians(n=47, p=16.7%).

Conclusions The findings of this study may contribute to establishing a more secure and efficient emergency medical

environment and improve the quality of emergency medical care. Some strategies were suggested. Managers have to

regard the proposed respondents, clarify the definition of the emergency surgery, and establish the operation codes on

ER. Therefore, the nurse can effectively apply the time to prepare patient and family in order to reduce their anxiety.

 Disclosure of Interest: None Declared