تاثير اجراي طرح بهينه سازي در ارايه خدمات اورژانس

The effects of improvement plan on the emergency services in Kashani & Hajar Hospitals of Shahrekord

Background and Aim: Due to importance of the emergency wards the ministry of health and medial education introduced a plan for the improvement of emergency wards. This plan has been executed since 2002 in Kashani and Hajar hospitals of Shahrekord. The aim of this study was to find the effects, pros and cons of the plan. Methods: This descriptive and analytical study was performed on 264 patients before and after the execution of the plan. According to the ward of service donor 35-60 cases were selected for evaluation of the services. Data was collected by observation and three types of questionnaires during the first six months of the years 2002 and 2003. Results: Execution of the plan caused a structural advancement of 13.98% and 16.67% in Kashani and Hajar hospitals respectively. Likewise, the educational condition for the emergency wards have a good improvement towards average condition of 14.29% in Kashani and 10.72% in Hajar hospital. The mean interval between the time of entrance and the first visit of the patients suffering from cerebral ischemia and stroke was 9 minutes. The mean interval between the time of entrance for the patients suffering from stroke to CT scan was 56 minutes. The mean interval between the time of entrance for the patients with neurosurgery and first visit was 9 minutes that decreased significantly (P<0.01). The results showed that the mean interval between the time of entrance for the patients with acute myocardial infarction and first visit to the patients was 6 minutes and 48 seconds that decreased significantly (P<0.01). Conclusions: The results showed that the performance of improvement plan on the emergency services has improved these services but still is far from the ideal.