Handling Times of Patients at a Level-1 Academic Trauma Center

Document Type : Original Article


1 Department of Emergency Medicine, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Innovated Medical Research Center, Faculty of Medicine, Mashhad Branch, Islamic Azad University, Mashhad, Iran, Mashhad University of Medical Sciences.

3 Department of Medical Informatics, Amsterdam UMC (location AMC), Amsterdam, and the Netherlands and Research Center, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.

4 Center for Education Research in, Medical Sciences (CERMS), Department of Medical Education, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.


The patient handling time can affect a patient’s access to critical care; also, there is a relationship between patient handling time in the emergency ward and recovery rates. Nurses and staff of emergency wards are essential factors affecting patient flows in emergency wards.
 Materials and Methods:
This cross-sectional study focused on the flow of patients referring to the level-1 Academic Traumatic Emergency Ward during 2018-2019. Nurses were divided into two categories of group and small-group training, each receiving two training rounds one month apart. The Revised Form of Timing and Workflow Emergency checklist was used for evaluation.
Evaluating 600 patients showed that the average time from patient entry to level 3 triage up to file creation was 24.8 minutes before interventions, and the same was 19.6 minutes for small groups and 17.6 for group training category (p<0.05), pointing to the fact that the group training category showed a significant reduction in average time from patient entry to triage to file creation.
The present study found that the training of nurses is practical for the flow times of patients hospitalized in emergency wards.