18 KB67 KB15 KB192920262001Eržen, DamijanKadivec, SašaŠorli, Jurijštevilka:7/8letnik:70str. 391-394ISSN:1318-0347COBISSID:13643737URN:URN:NBN:SI:doc-UCBTIS4ZslSlovensko zdravniško društvoZdravniški vestnikAppointments and schedulesbolnišnicaHospitalizationHospitals, specialLung diseasesQuality of health caresprejemWaiting listszdravstvena oskrbaTrajanje postopka za sprejem v bolnišnico| Waiting times in the university hospital|Background. Prolonged waiting times for the admission to the hospital are important factor of patient dissatisfaction with health care in the hospital. Methods. Questionnaire (check-list) was used to measure time intervals of the individual phase of health care from admission in the out-patient department to the admission to the ward. Check-list was filled in by nurses both in the out-patient department and hospital wards. In the study we included 572 patients of which 505 were admitted to the hospital. Results. Average waiting time from admission in out patient department to placement in the bed in hospital ward was 93.6 minutes. Shortest waiting time was observed in urgent patients, longest in non booked patients. On average patients waited 54.8 minutes from admission till the end of examination of the admitting physician and 17.5 minutes from entering the hospital ward to placement in their bed. Majority, 68% of patients were admitted in the morning shift, 23% in the afternoon, and 9% in the night shift. Non-admitted patients waited on average 202 minutes before completion of their workup and release from the out-patientdepartment. Conclusions. Our study revealed bottle-necks in the admitting procedure and supported efforts for simplification and hence shortening. Besides changes in admitting procedure, reorganization of laboratory service and changes in the existing hospital information system arealso indicatedIzhodišča. Dolgotrajen postopek za sprejem v bolnišnico je eden od negativnih dejavnikov bolnikovega zadovoljstva z zdravstveno oskrbo v bolnišnici. Metode.Z uporabo kontrolne liste smo merili različne faze trajanja postopka ododdaje napotnice v sprejemni pisarni do namestitve v posteljo na bolniškem oddelku. Kontrolno listo so izpolnjevale medicinske sestre v sprejemni ambulanti in na oddelku, kamor je bil bolnik sprejet. V študijo je bilo vključenih 572 bolnikov. 505 bolnikov je bilo sprejetih, 67 odklonjenih. Rezultati. Povprečni čas čakanja do namestitve v posteljo je 93,6 minute. Najmanj čakajo akutno bolni, najdalj nenaročeni bolniki. V povprečju so bolniki čakali 54,8 minute do zaključnega pregleda pri zdravniku in 17,5 minute od sprejema na oddelku do namestitve v posteljo. V dopoldanski izmeni je prišlo 68% bolnikov, 23% v popoldanski in 9% v nočnem času. Bolniki, ki niso bili sprejeti na bolniški oddelek, so na odpustno dokumentacijo čakali v povprečju 202 minute. Zaključki. Študija je pokazala na ozka grla v postopku sprejema bolnika v bolnišnico. Skrajšanje trajanja postopka za sprejem v bolnišnico mora postati predmet prizadevanj zaposlenih. Eden od ukrepov je skrajšanje postopka obdelave naročenih bolnikov v sprejemni ambulanti. Potrebna bo reorganizacija dela laboratorijske službe in dopolnitev bolnišničnega informacijskega sistemaTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo