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For years, Emergency Departments (EDs) have struggled to meet the rapidly increasing demand with inadequate capacities. This situation, exacerbated by overpopulation, causes patients to leave the Emergency Department. In addition to being harmful, this event “Left Without Being Seen” (LWBS) loses interaction with healthcare systems and consequently deteriorate the quality of services offered. LWBS may also be used to evaluate performance as a quality measure. In the study, authors examined the LWBS rate for 2021 at the hospital “Santa Maria della Pietà” in Nola, Naples (Italy). The study incorporated statistical analysis and firth logistic regression. Subjects who dropped out of the ED comprised individuals with a younger average age, assigned a White or Green code, and who arrived independently between 12:00 and 24:00. In terms of LOS of Emergency Department, the delay for both groups is around 180 min, this shows how important it is to stay in the hospital department and even more in ED. According to the findings, subjects with non-critical illnesses diseases and accessibility in the nighttime hours are the most probable for patients to leave the ED.

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Improving the Quality of Care Through the Study of Patient Abandonment Rates in a Hospital of Nola

  • 会议论文

  • 发表日期：

    2025年

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  • Emma Montella,
  • Angelo Rosa,
  • Massimo Majolo,
  • Eliana Raiola,
  • Giuseppe Russo,
  • Arianna Scala,
  • Maria Triassi,
  • Marta Rosaria Marino

摘要

For years, Emergency Departments (EDs) have struggled to meet the rapidly increasing demand with inadequate capacities. This situation, exacerbated by overpopulation, causes patients to leave the Emergency Department. In addition to being harmful, this event “Left Without Being Seen” (LWBS) loses interaction with healthcare systems and consequently deteriorate the quality of services offered. LWBS may also be used to evaluate performance as a quality measure. In the study, authors examined the LWBS rate for 2021 at the hospital “Santa Maria della Pietà” in Nola, Naples (Italy). The study incorporated statistical analysis and firth logistic regression. Subjects who dropped out of the ED comprised individuals with a younger average age, assigned a White or Green code, and who arrived independently between 12:00 and 24:00. In terms of LOS of Emergency Department, the delay for both groups is around 180 min, this shows how important it is to stay in the hospital department and even more in ED. According to the findings, subjects with non-critical illnesses diseases and accessibility in the nighttime hours are the most probable for patients to leave the ED.