Quality in emergency departments

A study on 3,285,440 admissions

Marina Sartini, P. Cremonesi, R. Tamagno, M. L. Cristina, P. Orlando, A. Vandelli, A. Carinci, A. Caruso, A. Grotti, A. Iacovella, A. La Brocca, A. Mangioncalda, A. M. Longanesi, B. Susi, C. Barletta, D. Braglia, D. Coen, D. Tazza, E. Gottardi, E. Palego & 78 others E. Urbano, F. Bar, F. Bussani, F. De Giorgi, F. Esposito, F. Fabi, F. Lotti, F. Miglio, F. Moscariello, F. Pertoldi, F. Sardella, F. Tosato, G. Abregal, G. Baldi, G. Carbone, G. Cerqua, G. Giagnorio, G. Pia, G. Piazza, G. Tedesco, G. F. Sallustio, I. Morana, L. Beringheli, L. Jannotti, L. Spinsi, L. Zulli, M. Cavazza, M. De Simone, M. Galletti, M. Gioffrè Florio, M. Greco, M. Longoni, M. Luppi, M. Magnani, M. Mazzone, M. Pastorello, M. Pazzaglia, M. Ravaglia, M. Zammataro, M. Zanna, M. A. Bressan, M. P. Saggese, N. Gentiloni Silveri, N. Scopetta, O. De Mitri, O. Fantin, P. Boscolo, P. Cancemi, P. De Angelis, P. Di Pietro, P. Mosca, P. Pacelli, P. Torboli, R. Copetti, R. Fazio, R. Losordo, R. Melandri, R. Papitto, S. Chiaravalle, S. Orlando, U. Sturlese, A. Di Grande, G. Narbone, H. Zimmermann, L. Martinelli, V. Clanchini, D. Paternosto, M. Fiorilli, C. Del Prato, M. Becheri, M. Lanigra, G. Guerra, C. Sinno, A. Soragna, M. P. Ferranio, V. Bua, R. Capra, E. Lualdi

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Introduction. A multi-centre study has been conducted, during 2005, by means of a questionnaire posted on the Italian Society of Emergency Medicine (SIMEU) web page. Our intention was to carry out an organisational and functional analysis of Italian Emergency Departments (ED) in order to pick out some macroindicators of the activities performed. Participation was good, in that 69 ED (3,285,440 admissions to emergency services) responded to the questionnaire. Methods. The study was based on 18 questions: 3 regarding the personnel of the ED, 2 regarding organisational and functional aspects, 5 on the activity of the ED, 7 on triage and 1 on the assessment of the quality perceived by the users of the ED. Results and conclusion. The replies revealed that 91.30% of the ED were equipped with data-processing software, which, in 96.83% of cases, tracked the entire itinerary of the patient. About 48,000 patients/year used the ED: 76.72% were discharged and 18.31% were hospitalised. Observation Units were active in 81.16% of the ED examined. Triage programmes were in place in 92.75% of ED: in 75.81% of these, triage was performed throughout the entire itinerary of the patient; in 16.13% it was performed only symptom-based, and in 8.06% only on-call. Of the patients arriving at the ED, 24.19% were assigned a non-urgent triage code, 60.01% a urgent code, 14.30% a emergent code and 1.49% a life-threatening code. Waiting times were: 52.39 min for non-urgent patients, 40.26 min for urgent, 12.08 for emergent, and 1.19 for life-threatening patients.

Original languageEnglish
Pages (from-to)17-23
Number of pages7
JournalJournal of Preventive Medicine and Hygiene
Volume48
Issue number1
Publication statusPublished - Mar 2007

Fingerprint

Hospital Emergency Service
Triage
Emergency Medicine
Emergencies
Software
Observation

Keywords

  • Quality
  • Questionnaire
  • Triage

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Sartini, M., Cremonesi, P., Tamagno, R., Cristina, M. L., Orlando, P., Vandelli, A., ... Lualdi, E. (2007). Quality in emergency departments: A study on 3,285,440 admissions. Journal of Preventive Medicine and Hygiene, 48(1), 17-23.

Quality in emergency departments : A study on 3,285,440 admissions. / Sartini, Marina; Cremonesi, P.; Tamagno, R.; Cristina, M. L.; Orlando, P.; Vandelli, A.; Carinci, A.; Caruso, A.; Grotti, A.; Iacovella, A.; La Brocca, A.; Mangioncalda, A.; Longanesi, A. M.; Susi, B.; Barletta, C.; Braglia, D.; Coen, D.; Tazza, D.; Gottardi, E.; Palego, E.; Urbano, E.; Bar, F.; Bussani, F.; De Giorgi, F.; Esposito, F.; Fabi, F.; Lotti, F.; Miglio, F.; Moscariello, F.; Pertoldi, F.; Sardella, F.; Tosato, F.; Abregal, G.; Baldi, G.; Carbone, G.; Cerqua, G.; Giagnorio, G.; Pia, G.; Piazza, G.; Tedesco, G.; Sallustio, G. F.; Morana, I.; Beringheli, L.; Jannotti, L.; Spinsi, L.; Zulli, L.; Cavazza, M.; De Simone, M.; Galletti, M.; Gioffrè Florio, M.; Greco, M.; Longoni, M.; Luppi, M.; Magnani, M.; Mazzone, M.; Pastorello, M.; Pazzaglia, M.; Ravaglia, M.; Zammataro, M.; Zanna, M.; Bressan, M. A.; Saggese, M. P.; Gentiloni Silveri, N.; Scopetta, N.; De Mitri, O.; Fantin, O.; Boscolo, P.; Cancemi, P.; De Angelis, P.; Di Pietro, P.; Mosca, P.; Pacelli, P.; Torboli, P.; Copetti, R.; Fazio, R.; Losordo, R.; Melandri, R.; Papitto, R.; Chiaravalle, S.; Orlando, S.; Sturlese, U.; Di Grande, A.; Narbone, G.; Zimmermann, H.; Martinelli, L.; Clanchini, V.; Paternosto, D.; Fiorilli, M.; Del Prato, C.; Becheri, M.; Lanigra, M.; Guerra, G.; Sinno, C.; Soragna, A.; Ferranio, M. P.; Bua, V.; Capra, R.; Lualdi, E.

In: Journal of Preventive Medicine and Hygiene, Vol. 48, No. 1, 03.2007, p. 17-23.

Research output: Contribution to journalArticle

Sartini, M, Cremonesi, P, Tamagno, R, Cristina, ML, Orlando, P, Vandelli, A, Carinci, A, Caruso, A, Grotti, A, Iacovella, A, La Brocca, A, Mangioncalda, A, Longanesi, AM, Susi, B, Barletta, C, Braglia, D, Coen, D, Tazza, D, Gottardi, E, Palego, E, Urbano, E, Bar, F, Bussani, F, De Giorgi, F, Esposito, F, Fabi, F, Lotti, F, Miglio, F, Moscariello, F, Pertoldi, F, Sardella, F, Tosato, F, Abregal, G, Baldi, G, Carbone, G, Cerqua, G, Giagnorio, G, Pia, G, Piazza, G, Tedesco, G, Sallustio, GF, Morana, I, Beringheli, L, Jannotti, L, Spinsi, L, Zulli, L, Cavazza, M, De Simone, M, Galletti, M, Gioffrè Florio, M, Greco, M, Longoni, M, Luppi, M, Magnani, M, Mazzone, M, Pastorello, M, Pazzaglia, M, Ravaglia, M, Zammataro, M, Zanna, M, Bressan, MA, Saggese, MP, Gentiloni Silveri, N, Scopetta, N, De Mitri, O, Fantin, O, Boscolo, P, Cancemi, P, De Angelis, P, Di Pietro, P, Mosca, P, Pacelli, P, Torboli, P, Copetti, R, Fazio, R, Losordo, R, Melandri, R, Papitto, R, Chiaravalle, S, Orlando, S, Sturlese, U, Di Grande, A, Narbone, G, Zimmermann, H, Martinelli, L, Clanchini, V, Paternosto, D, Fiorilli, M, Del Prato, C, Becheri, M, Lanigra, M, Guerra, G, Sinno, C, Soragna, A, Ferranio, MP, Bua, V, Capra, R & Lualdi, E 2007, 'Quality in emergency departments: A study on 3,285,440 admissions', Journal of Preventive Medicine and Hygiene, vol. 48, no. 1, pp. 17-23.
Sartini M, Cremonesi P, Tamagno R, Cristina ML, Orlando P, Vandelli A et al. Quality in emergency departments: A study on 3,285,440 admissions. Journal of Preventive Medicine and Hygiene. 2007 Mar;48(1):17-23.
Sartini, Marina ; Cremonesi, P. ; Tamagno, R. ; Cristina, M. L. ; Orlando, P. ; Vandelli, A. ; Carinci, A. ; Caruso, A. ; Grotti, A. ; Iacovella, A. ; La Brocca, A. ; Mangioncalda, A. ; Longanesi, A. M. ; Susi, B. ; Barletta, C. ; Braglia, D. ; Coen, D. ; Tazza, D. ; Gottardi, E. ; Palego, E. ; Urbano, E. ; Bar, F. ; Bussani, F. ; De Giorgi, F. ; Esposito, F. ; Fabi, F. ; Lotti, F. ; Miglio, F. ; Moscariello, F. ; Pertoldi, F. ; Sardella, F. ; Tosato, F. ; Abregal, G. ; Baldi, G. ; Carbone, G. ; Cerqua, G. ; Giagnorio, G. ; Pia, G. ; Piazza, G. ; Tedesco, G. ; Sallustio, G. F. ; Morana, I. ; Beringheli, L. ; Jannotti, L. ; Spinsi, L. ; Zulli, L. ; Cavazza, M. ; De Simone, M. ; Galletti, M. ; Gioffrè Florio, M. ; Greco, M. ; Longoni, M. ; Luppi, M. ; Magnani, M. ; Mazzone, M. ; Pastorello, M. ; Pazzaglia, M. ; Ravaglia, M. ; Zammataro, M. ; Zanna, M. ; Bressan, M. A. ; Saggese, M. P. ; Gentiloni Silveri, N. ; Scopetta, N. ; De Mitri, O. ; Fantin, O. ; Boscolo, P. ; Cancemi, P. ; De Angelis, P. ; Di Pietro, P. ; Mosca, P. ; Pacelli, P. ; Torboli, P. ; Copetti, R. ; Fazio, R. ; Losordo, R. ; Melandri, R. ; Papitto, R. ; Chiaravalle, S. ; Orlando, S. ; Sturlese, U. ; Di Grande, A. ; Narbone, G. ; Zimmermann, H. ; Martinelli, L. ; Clanchini, V. ; Paternosto, D. ; Fiorilli, M. ; Del Prato, C. ; Becheri, M. ; Lanigra, M. ; Guerra, G. ; Sinno, C. ; Soragna, A. ; Ferranio, M. P. ; Bua, V. ; Capra, R. ; Lualdi, E. / Quality in emergency departments : A study on 3,285,440 admissions. In: Journal of Preventive Medicine and Hygiene. 2007 ; Vol. 48, No. 1. pp. 17-23.
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abstract = "Introduction. A multi-centre study has been conducted, during 2005, by means of a questionnaire posted on the Italian Society of Emergency Medicine (SIMEU) web page. Our intention was to carry out an organisational and functional analysis of Italian Emergency Departments (ED) in order to pick out some macroindicators of the activities performed. Participation was good, in that 69 ED (3,285,440 admissions to emergency services) responded to the questionnaire. Methods. The study was based on 18 questions: 3 regarding the personnel of the ED, 2 regarding organisational and functional aspects, 5 on the activity of the ED, 7 on triage and 1 on the assessment of the quality perceived by the users of the ED. Results and conclusion. The replies revealed that 91.30{\%} of the ED were equipped with data-processing software, which, in 96.83{\%} of cases, tracked the entire itinerary of the patient. About 48,000 patients/year used the ED: 76.72{\%} were discharged and 18.31{\%} were hospitalised. Observation Units were active in 81.16{\%} of the ED examined. Triage programmes were in place in 92.75{\%} of ED: in 75.81{\%} of these, triage was performed throughout the entire itinerary of the patient; in 16.13{\%} it was performed only symptom-based, and in 8.06{\%} only on-call. Of the patients arriving at the ED, 24.19{\%} were assigned a non-urgent triage code, 60.01{\%} a urgent code, 14.30{\%} a emergent code and 1.49{\%} a life-threatening code. Waiting times were: 52.39 min for non-urgent patients, 40.26 min for urgent, 12.08 for emergent, and 1.19 for life-threatening patients.",
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TY - JOUR

T1 - Quality in emergency departments

T2 - A study on 3,285,440 admissions

AU - Sartini, Marina

AU - Cremonesi, P.

AU - Tamagno, R.

AU - Cristina, M. L.

AU - Orlando, P.

AU - Vandelli, A.

AU - Carinci, A.

AU - Caruso, A.

AU - Grotti, A.

AU - Iacovella, A.

AU - La Brocca, A.

AU - Mangioncalda, A.

AU - Longanesi, A. M.

AU - Susi, B.

AU - Barletta, C.

AU - Braglia, D.

AU - Coen, D.

AU - Tazza, D.

AU - Gottardi, E.

AU - Palego, E.

AU - Urbano, E.

AU - Bar, F.

AU - Bussani, F.

AU - De Giorgi, F.

AU - Esposito, F.

AU - Fabi, F.

AU - Lotti, F.

AU - Miglio, F.

AU - Moscariello, F.

AU - Pertoldi, F.

AU - Sardella, F.

AU - Tosato, F.

AU - Abregal, G.

AU - Baldi, G.

AU - Carbone, G.

AU - Cerqua, G.

AU - Giagnorio, G.

AU - Pia, G.

AU - Piazza, G.

AU - Tedesco, G.

AU - Sallustio, G. F.

AU - Morana, I.

AU - Beringheli, L.

AU - Jannotti, L.

AU - Spinsi, L.

AU - Zulli, L.

AU - Cavazza, M.

AU - De Simone, M.

AU - Galletti, M.

AU - Gioffrè Florio, M.

AU - Greco, M.

AU - Longoni, M.

AU - Luppi, M.

AU - Magnani, M.

AU - Mazzone, M.

AU - Pastorello, M.

AU - Pazzaglia, M.

AU - Ravaglia, M.

AU - Zammataro, M.

AU - Zanna, M.

AU - Bressan, M. A.

AU - Saggese, M. P.

AU - Gentiloni Silveri, N.

AU - Scopetta, N.

AU - De Mitri, O.

AU - Fantin, O.

AU - Boscolo, P.

AU - Cancemi, P.

AU - De Angelis, P.

AU - Di Pietro, P.

AU - Mosca, P.

AU - Pacelli, P.

AU - Torboli, P.

AU - Copetti, R.

AU - Fazio, R.

AU - Losordo, R.

AU - Melandri, R.

AU - Papitto, R.

AU - Chiaravalle, S.

AU - Orlando, S.

AU - Sturlese, U.

AU - Di Grande, A.

AU - Narbone, G.

AU - Zimmermann, H.

AU - Martinelli, L.

AU - Clanchini, V.

AU - Paternosto, D.

AU - Fiorilli, M.

AU - Del Prato, C.

AU - Becheri, M.

AU - Lanigra, M.

AU - Guerra, G.

AU - Sinno, C.

AU - Soragna, A.

AU - Ferranio, M. P.

AU - Bua, V.

AU - Capra, R.

AU - Lualdi, E.

PY - 2007/3

Y1 - 2007/3

N2 - Introduction. A multi-centre study has been conducted, during 2005, by means of a questionnaire posted on the Italian Society of Emergency Medicine (SIMEU) web page. Our intention was to carry out an organisational and functional analysis of Italian Emergency Departments (ED) in order to pick out some macroindicators of the activities performed. Participation was good, in that 69 ED (3,285,440 admissions to emergency services) responded to the questionnaire. Methods. The study was based on 18 questions: 3 regarding the personnel of the ED, 2 regarding organisational and functional aspects, 5 on the activity of the ED, 7 on triage and 1 on the assessment of the quality perceived by the users of the ED. Results and conclusion. The replies revealed that 91.30% of the ED were equipped with data-processing software, which, in 96.83% of cases, tracked the entire itinerary of the patient. About 48,000 patients/year used the ED: 76.72% were discharged and 18.31% were hospitalised. Observation Units were active in 81.16% of the ED examined. Triage programmes were in place in 92.75% of ED: in 75.81% of these, triage was performed throughout the entire itinerary of the patient; in 16.13% it was performed only symptom-based, and in 8.06% only on-call. Of the patients arriving at the ED, 24.19% were assigned a non-urgent triage code, 60.01% a urgent code, 14.30% a emergent code and 1.49% a life-threatening code. Waiting times were: 52.39 min for non-urgent patients, 40.26 min for urgent, 12.08 for emergent, and 1.19 for life-threatening patients.

AB - Introduction. A multi-centre study has been conducted, during 2005, by means of a questionnaire posted on the Italian Society of Emergency Medicine (SIMEU) web page. Our intention was to carry out an organisational and functional analysis of Italian Emergency Departments (ED) in order to pick out some macroindicators of the activities performed. Participation was good, in that 69 ED (3,285,440 admissions to emergency services) responded to the questionnaire. Methods. The study was based on 18 questions: 3 regarding the personnel of the ED, 2 regarding organisational and functional aspects, 5 on the activity of the ED, 7 on triage and 1 on the assessment of the quality perceived by the users of the ED. Results and conclusion. The replies revealed that 91.30% of the ED were equipped with data-processing software, which, in 96.83% of cases, tracked the entire itinerary of the patient. About 48,000 patients/year used the ED: 76.72% were discharged and 18.31% were hospitalised. Observation Units were active in 81.16% of the ED examined. Triage programmes were in place in 92.75% of ED: in 75.81% of these, triage was performed throughout the entire itinerary of the patient; in 16.13% it was performed only symptom-based, and in 8.06% only on-call. Of the patients arriving at the ED, 24.19% were assigned a non-urgent triage code, 60.01% a urgent code, 14.30% a emergent code and 1.49% a life-threatening code. Waiting times were: 52.39 min for non-urgent patients, 40.26 min for urgent, 12.08 for emergent, and 1.19 for life-threatening patients.

KW - Quality

KW - Questionnaire

KW - Triage

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JO - Journal of Preventive Medicine and Hygiene

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