Response Time, Decision Time, and Delivery Time in Pediatric Emergency Unit of West Java Top Referral Hospital
Abstract: The number of visitors at pediatric emergency
unit has increased around 25 million per year. This condition caused
overcrowded in these units which would disrupt health care process. Waiting
time is one indicator of health care quality. Prolonged waiting times is
related to patient’s dissatisfaction and poor outcome. The aim of this study
was to identify response time, decision time, and delivery time of Pediatric
Emergency Unit in Dr. Hasan Sadikin General Hospital.
Methods: This was a descriptive cross sectional study. Data from medical
records of pediatric patients who attend Pediatric Emergency Unit, Dr. Hasan
Sadikin General Hospital from August to September 2015 were collected. The data
included sex, age, day of admission, time of admission, insurance status,
triage status, disposition of care, response time, decision time, and delivery
time. The collected data were analyzed and presented in percentage and peformed
in tables.
Results: A total of 201 data were collected during study period. The
geometric mean of total waiting time in pediatric emergency department was
346.65 minutes (5 hours 46 minutes). Response time had a geometric mean of 4.07
minutes, meanwhile decision time and delivery time had geometric mean of 46.77
minutes and 181.97 minutes, respectively.
Conclusions: Total waiting times of pediatric emergency department
exceeds the standard time (4 hours). Meanwhile response time and decision time
have already met the standard.
Keywords: Decision time,
delivery time, pediatric emergency unit, response time, waiting time
Author: Ayu Sary Oktaviani,
Dzulfikar D. Lukmanul Hakim, Suwarman
Journal Code: jpkedokterangg170150
