Patient attendance at a major accident and emergency department: are public emergency services being abused?

A. A. Azhar, Ismail Mohd. Saiboon, F. L. Ham

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A total of 37,152 patients attended the Accident & Emergency (A&E) Department of Hospital Universiti Kebangsaan Malaysia (HUKM) from 1st January to 31st December 1998. Attendance during early hours (midnight to 0659 hrs.) constituted only 10.4% (3853 cases) whereas that for three other time periods of 0700-1159 hrs., 1200-1759 hrs., and 1800-2359 hrs. was 29.4% (10,927 cases), 30.8% (11,448 cases), and 29.4% (10,924 cases) respectively. Two hundred and fifty-one patients were direct admissions from other hospitals into our hospital wards and they attended the A&E department for registration purposes only. Of the remaining 36,901 that were triaged, 196 (0.5%) were resuscitation cases [Triage 1], 3648 (9.9%) were emergency cases [Triage 21, 18,935 (51.3%) were urgent cases [Triage 3], and 14,122 (38.3%) were non-urgent cases [Triage 4]. Despite fluctuations in monthly patient attendance, the proportions of patients according to time of attendance, age group, gender and triage categories remained similar throughout. As majority of patients attended during convenient hours (89.6% from 0700-2359 hrs.) and a high proportion of patients (38.3%) belonged to the non-urgent Triage category, we feel that public emergency services are possibly being abused.

Original languageEnglish
Pages (from-to)164-168
Number of pages5
JournalThe Medical journal of Malaysia
Volume55
Issue number2
Publication statusPublished - Jun 2000

Fingerprint

Triage
Hospital Emergency Service
Emergencies
Malaysia
Hospital Departments
Resuscitation
Accidents
Age Groups

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Patient attendance at a major accident and emergency department : are public emergency services being abused? / Azhar, A. A.; Mohd. Saiboon, Ismail; Ham, F. L.

In: The Medical journal of Malaysia, Vol. 55, No. 2, 06.2000, p. 164-168.

Research output: Contribution to journalArticle

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