Showing 3 results for Department
Farzaneh Golaghaie, Hossein Sarmadian, Mohammad Rafiie, Nazi Nejat,
Volume 11, Issue 2 (6-2008)
Abstract
Introduction: Delivery of immediate medical interventions appropriate to the severity of clinical status of patients is a main public expectation of emergency departments. Waiting time and length of stay are the key measures to asses the quality of care in emergency departments. This study is done to investigate the waiting time and length of stay of attendants to emergency department of Vali-e-Asr Hospital, Arak-Iran. Materials and Methods: This analytical cross-sectional research was conducted in a general emergency department of a teaching hospital in Arak to asses the waiting time and length of stay of patients. In the first stage of the study all attendants during a 6 weeks period were classified regarding to the severity of their clinical status by an educated nurse and a general practitioner using a three category scale (guideline) presented by ministry of Health and Medical Education (2001). Also waiting time for a general practitioner visit was measured and documented by the resident general practitioner. In the second stage, a sample of 100 documents of patients in group 1 and 2 admitted for specialist visit were assessed for the waiting time and length of stay in emergency department. Mean of waiting time according to patients clinical status and the specialty of the first physician were analyzed by t-test and ANOVA (p =0.05). Results: During a 6 weeks period, of 1963 patients, 179(9.1%) were categorized as emergent (category 1), 391(19.9%) urgent (category 2) and 1393 (71%) non urgent. The mean waiting time for general practitioner visit was 5 minutes. The median and mean of waiting time for specialist visit in group 1 and 2 of patients were 225 and 262±156, 220 and 227±153 minutes, respectively. The median and mean of length of stay was 1 and 2 days, respectively. No differences were found between waiting time of various specialties visit in patients of categories 1 and 2. Conclusion: Regarding the long waiting time for specialist visit, using triage in emergency departments is necessary. This needs planning and organization for the presence of specialists in the hospital, over the time. Also regarding the large number of nonurgent patients, 24 hours presence of a general practitioner is necessary.
Habib Rezaei, Soad Mahfoozpour, Somayeh Hesam, Eiravan Masoodi Asl,
Volume 28, Issue 5 (12-2025)
Abstract
Introduction: Different organizations are involved in each level of traffic accident prevention. Enhanced collaboration among these organizations leads to more effective and beneficial outcomes in traffic accident prevention across all levels. Therefore, this research was conducted with the aim of investigating the status of inter-sectoral cooperation in the prevention of traffic accidents in selected countries and Iran.
Methods: This research is a comparative study that was conducted in 2022. In this study, sampling was purposeful. The countries compared in the study include Egypt, Turkey, the United States, Australia, Sweden, England, Norway, Denmark, and Iran. These countries were selected based on their successful experiences and positive indicators in the field of research. Valid databases and other related sources were used to collect data. In this study, the findings were compared using a comparative table.
Results: Findings indicated that the incidence of traffic accidents is higher among men than women. Additionally, the incidence rate was highest in Iran and lowest in Norway. The results also showed that organizations and institutions such as the Ministry of Roads and Urban Development, the Ministry of Education, the Ministry of Health and Medical Education, the Ministry of Interior, the National Broadcasting Agency, the Traffic Police, the Ministry of Economic Affairs and Finance, and the Ministry of Welfare play the most crucial role in the pre-accident, during-accident, and post-accident phases.
Conclusions: Based on the research findings, it is recommended to develop and implement an integrated model of inter-departmental cooperation to prevent and manage traffic accidents, aiming to decrease casualties and enhance road safety in Iran.
Alireza Amani, Malihe Safari, Ghodratollah Roshanaei, Alireza Mohamadi, Amir Hamta, Aidin Shakeri, Yasamin Pourandish, Sahar Bayat, Dorsa Beygi, Saeed Jafari,
Volume 28, Issue 6 (1-2026)
Abstract
Introduction: The emergency department is an essential part of the health care system in any country, providing 24-hour service to patients requiring urgent medical, surgical, or other care. The main aim of the present study was to determine the epidemiological characteristics of patients referred to the emergency department at the referral center in Arak city.
Methods: The present cross-sectional study was conducted on 226,127 patients referred to the emergency department during 2020-2023. The information in this study was based on the registration system of patients referred to the emergency department in Vali-asr Hospital in Arak. Data analysis was done by using descriptive statistics and t-test and Chi-square statistical tests. The significance level of the tests was considered P < 0.05.
Results: The mean (standard deviation) age of patients was 36.3 (20.5) years with an age range of (1-103). 147,088 patients were male (65%). Death occurred in 2,633 (1.2%) patients. More than 50% of patients were referred between 8:00 AM and 4:00 PM. Hospital admission was required for 32.1% of patients. 63% underwent surgical procedures. A statistically significant association was observed between gender, age, year of visit, season, time of visit and surgical procedures with the type of admission and the condition of the patient at the time of discharge (P < 0.05).
Conclusions: Understanding the epidemiology and the demographic and clinical characteristics of patients can facilitate timely planning for staff deployment and resource allocation. This can help prevent overcrowding, improve patient outcomes, and increase patient satisfaction through effective management.
