THE EFFECT OF THE URGENT CARE CENTRE ON PATIENTS FLOW AT AL-NOOR SPECIALIST HOSPITAL EMERGENCY DEPARTMENT
Background: Urgent care clinic is one of the 2030 initiatives that contribute to reducing ED congestion. This study will evaluate the effectiveness of the first site of UCC in Makkah by comparing patients’ volume in Hospital ED. The comparison will take place before and after the implementation and the rate of non-urgent cases.
Materials and Methods: The observational study evaluates the urgent care clinic & ED utilization of services using Canadian Triage and Acuity Scale (CTAS), select CTAS 4,5 as non-urgent visits. Data extracted and collected from Al-Noor automated system and manually from the UCC clerk due to lack of automated system at the UCC. The project data collected from August 2018 to December 2019 for UCC, and from 2016 - 2019 for ED to study the differences before and after the UCC activation. The study will be using SPSS statistic program for analyzing and interpreting.
Result: Study result shows about 50% reduction in non-urgent visits post-intervention. T.test result (11.227) was highly significant p 0.00 > 0.05 the study proves that the UCC improve ED congestion. Odds ratio reports the relation between the non-urgent visits and age group and result show that UCC services are overutilized by middle age group. Most visits were made to the UCC during off duty hours on weekdays.
Conclusion: The 50% reduction in ED congestion was a result of UCC activation, further investigations are needed to repot the effectiveness of UCC to improve the waiting time.
Keywords: Urgent Care Clinic, ED Congestion, Non-Urgent Cases, Canadian Triage and Acuity Scale, Primary Heath Care, Iskan