Volume 31, Issue 1 (1-2017)                   Med J Islam Repub Iran 2017 | Back to browse issues page


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Fazl Hashemi S M E, Sarabi Asiabar A, Rezapour A, Azami-Aghdash S, Hosseini Amnab H, Mirabedini S A. Patient waiting time in hospital emergency different parts of Iran: a systematic review and meta-analysis. Med J Islam Repub Iran. 2017; 31 (1) :444-452
URL: http://mjiri.iums.ac.ir/article-1-4356-en.html

Msc Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran , mirabedini110@yahoo.com
Abstract:   (180 Views)

Background: Waiting times in emergency department is a key indicator in measuring the quality of hospital services and has a significant impact on patient satisfaction. The purpose of this study was to systematically review and meta-analysis of the patients' waiting time in hospital emergency departments of Iran.
Methods: The data gathered from databases of Web of science, Embase, PubMed, Scopus, Google scholar, SID, IranMedex by using key words “emergency ward”  “emergency room”, “waiting time”, ” time delay”, “first visit”, “first treatment”   “emergency department”, “Iran”  and their Persian equivalents. Selected timeframe to search for articles was from 2000 to 2016. In this meta-analysis software CMA2 (Comprehensive Meta-Analysis) was used.
Results: 236 articles were found from databases and other sources, finally 17 included in the analysis. Totally, waiting time in different parts of the emergency department was measured for 15943 patients. Average waiting time from arrival to the first visit by a physician was 5.9 ± 0.6 minutes, between the first visit and the first therapeutic steps was 45 ± 5 minutes, between referring to the laboratory and getting the result was 94± 33.9  minutes, between referring to the radiology and getting the result was 23.2 ± 3 minutes, between referring to ECG and getting the result  32.2 ± 7minutes, and waiting time for the first specialist consultation was 99.3 ± 32.8 minutes.
Conclusions: The results demonstrated that waiting times in the emergency rooms of Iranian hospitals is higher than the national and international standards. According to high rate of heterogeneity in results and probability of publication bias, we recommended to readers that in use of the results of this study attention to these issues.  
 

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