Effect of Queue Management System on Patient Satisfaction in Emergency Department; a Randomized Controlled Trial

Background: Patients’ experience in hospitals affects their satisfaction. Aim: The purpose of the present study was to assess the effect of applying a queue management system on patient satisfaction in emergency department waiting rooms.Methods: The present prospective randomized single-blinded interventional study was performed from July to August 2020 and involved 236 patients that were divided into one intervention group and one control group, each consisting of 118 patients. The mentioned patients’ perception of the waiting time and satisfaction before being visited by an emergency medicine doctor was evaluated with and without applying the queue management system.Results: The mean actual waiting time (15.5 ± 7.5 minutes) as well as the mean perceived waiting time (11.9 ± 7.4 minutes) for the intervention group were significantly lower than those of the control group with the values of 27.03 ± 8.5 and 32.8 ± 8.7 minutes, respectively (p < 0.001). The mean perceived waiting time was significantly less than the mean actual waiting time (11.9 min vs 15.5 minutes) for the intervention group (p < 0.001). The level of satisfaction in the intervention group was significantly higher than that of the control group (p < 0.001).Conclusion: It can be proposed that the application of a queue management system in the emergency department waiting rooms can reduce the actual and perceived waiting times and increase the patient satisfaction

Comparison of Lecture-based and CD-based Control Nuclear Pollution Training for Medical Interns

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Evaluation of Satisfaction of Pediatric and Emergency Residents and Nurses from Cardiopulmonary Resuscitation and Pediatric Trauma Workshops through Simulation Techniques

Introduction: Simulation-based learning has been an effective and safe tool for learning and practicing skills. Therefore, this study was designed to explore the satisfaction of residents and nurses from workshops held by simulation in Hazrat Ali Asghar (AS) Children's Hospital in Tehran in the academic years 2019-2020. Methods: This descriptive cross-sectional study was performed on 157 pediatric, emergency residents and nurses of Ali Asghar Hospital.Participants were selected through counting method. The instrument was a questionnaire designed by researchers that was used after validation and reliability. Statistical analysis of information was performed using descriptive statistics. Results: Pediatric, emergency assistants and nurses experienced 90% and 95% satisfaction, respectively, in relation to various aspects of teacher satisfaction and performance from a total of seven workshops held. The number of female participants (83%) was higher than men. Besides, there was no significant relationship between demographic characteristics of individuals and their satisfaction (P=0/06). Conclusion: On the other hand, the assistants and nurses were highly satisfied with the performance of the workshops and the content of the workshops and the performance of the instructors. Therefore, holding workshops through simulated training methods is recommended to enhance learning and improve the performance of assistants and nurses during the study

Evaluation of the prevalence and clinical and laboratory features of acute viral myositis in children with influenza referred to the emergency department of Ali Asghar Tehran Hospital in 2019 and 2020

Introduction: Influenza-related viral myositis is observed mostly in children with influenza, and the disease is more common in influenza type B. The aim of the present study was to evaluate the prevalence, and clinical and laboratory features of acute viral myositis in children with influenza in 2019 and 2020. Methods: This retrospective cross-sectional study was performed in Ali Asghar Hospital, from December 2019 to February 2020. Children aged 2–14 years with symptoms of acute onset of fever, along with the symptoms of influenza with or without muscle pain who referred to the emergency department of Hazrat Ali Asghar Children's Hospital, were included in the study. The data were collected and analyzed by Statistical Package for the Social Sciences (SPSS) version 22. Results: Out of the 105 participants in this study, 62 (59%) were male and the rest were female. The average age of the patients was 5.34 years (SD = 2.63). Clinical signs of lower limb pain, myalgia, lameness, weakness, and lethargy were significantly more common in patients with myositis (P-value < 0.05). In-vitro examination demonstrated that creatine phosphokinase (CPK), aspartate aminotransferase (AST), and aAlanine aminotransferease (ALT) levels were significantly higher in patients with myositis. Conclusion: Based on the present results, the clinical symptoms in patients are quite clear, and based on the symptoms, it is possible to diagnose and treat myositis without relying on laboratory findings; due to the self-limitation of this complication and lack of the need for complex treatments in case of early diagnosis, physicians can diagnose and treat many cases, depending on the clinical symptoms and the accuracy of the examination