Skip to main content

Main menu

  • Home
  • Content
    • Latest
    • Archive
    • home
  • Info for
    • Authors
    • Reviewers
    • Subscribers
    • Institutions
    • Advertisers
    • Join SMJ
  • About Us
    • About Us
    • Editorial Office
    • Editorial Board
  • More
    • Advertising
    • Alerts
    • Feedback
    • Folders
    • Help
  • Other Publications
    • NeuroSciences Journal

User menu

  • My alerts
  • Log in

Search

  • Advanced search
Saudi Medical Journal
  • Other Publications
    • NeuroSciences Journal
  • My alerts
  • Log in
Saudi Medical Journal

Advanced Search

  • Home
  • Content
    • Latest
    • Archive
    • home
  • Info for
    • Authors
    • Reviewers
    • Subscribers
    • Institutions
    • Advertisers
    • Join SMJ
  • About Us
    • About Us
    • Editorial Office
    • Editorial Board
  • More
    • Advertising
    • Alerts
    • Feedback
    • Folders
    • Help
  • Follow psmmc on Twitter
  • Visit psmmc on Facebook
  • RSS
Research ArticleOriginal Article
Open Access

Improving door-to-doctor and door-to-analgesia time in a tertiary teaching hospital emergency department through a novel ‘Red Box’ system

Ismail M. Saiboon, Nariman Singmamae, Mohd J. Jaafar, Bala K. Muniandy, Kamal Sengmamae, Faizal A. Hamzah, Nur S. Mohtar, Ho S. Eng and Colin E. Robertson
Saudi Medical Journal July 2014, 35 (7) 718-723;
Ismail M. Saiboon
Department of Emergency Medicine, The National University of Malaysia Medical Center, Jalan Yaacob Latif, Bandar Tun Razak 56000 Kuala Lumpur, Malaysia. Fax. +6 (03) 91456577. E-mail: [email protected]
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: [email protected]
Nariman Singmamae
Department of Emergency Medicine, The National University of Malaysia Medical Center, Jalan Yaacob Latif, Bandar Tun Razak 56000 Kuala Lumpur, Malaysia. Fax. +6 (03) 91456577. E-mail: [email protected]
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: [email protected]
Mohd J. Jaafar
Department of Emergency Medicine, The National University of Malaysia Medical Center, Jalan Yaacob Latif, Bandar Tun Razak 56000 Kuala Lumpur, Malaysia. Fax. +6 (03) 91456577. E-mail: [email protected]
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: [email protected]
Bala K. Muniandy
Department of Emergency Medicine, The National University of Malaysia Medical Center, Jalan Yaacob Latif, Bandar Tun Razak 56000 Kuala Lumpur, Malaysia. Fax. +6 (03) 91456577. E-mail: [email protected]
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: [email protected]
Kamal Sengmamae
Department of Emergency Medicine, The National University of Malaysia Medical Center, Jalan Yaacob Latif, Bandar Tun Razak 56000 Kuala Lumpur, Malaysia. Fax. +6 (03) 91456577. E-mail: [email protected]
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: [email protected]
Faizal A. Hamzah
Department of Emergency Medicine, The National University of Malaysia Medical Center, Jalan Yaacob Latif, Bandar Tun Razak 56000 Kuala Lumpur, Malaysia. Fax. +6 (03) 91456577. E-mail: [email protected]
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: [email protected]
Nur S. Mohtar
Department of Emergency Medicine, The National University of Malaysia Medical Center, Jalan Yaacob Latif, Bandar Tun Razak 56000 Kuala Lumpur, Malaysia. Fax. +6 (03) 91456577. E-mail: [email protected]
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: [email protected]
Ho S. Eng
Department of Emergency Medicine, The National University of Malaysia Medical Center, Jalan Yaacob Latif, Bandar Tun Razak 56000 Kuala Lumpur, Malaysia. Fax. +6 (03) 91456577. E-mail: [email protected]
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: [email protected]
Colin E. Robertson
Department of Emergency Medicine, The National University of Malaysia Medical Center, Jalan Yaacob Latif, Bandar Tun Razak 56000 Kuala Lumpur, Malaysia. Fax. +6 (03) 91456577. E-mail: [email protected]
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • For correspondence: [email protected]
  • Article
  • eLetters
  • Info & Metrics
  • PDF
Loading

Abstract

OBJECTIVE: To evaluate the effectiveness of a new patient flow system, ‘The Red Box’ on the quality of patient care in respect of the time taken for the care to be delivered to the patient.

METHODS: A pre-post study was conducted looking at the door-to-doctor (DTD) and door-to-analgesia (DTA) times for cases presenting to the Emergency Department (ED) of a tertiary teaching hospital ‘The National University of Malaysia Medical Center’ between the periods of July and September 2005 against July and September 2008. Demographic data, ED presentation time, time seen by first doctor, and time first analgesia given were collected in both periods and analyzed.

RESULTS: A total of 1,000 cases were enrolled. Group A (pre-Red Box) and group B (post-Red Box) comprised 500 cases each. The mean DTD time for group A was 29 minutes (SD +/- 3 minutes) and for group B was 3 minutes (SD +/- 1 minute), with a 98.8% reduction (p<0.001). For DTA time, group A recorded a mean of 46 minutes (SD +/- 3 minutes), and group B recorded a mean of 9 minutes (SD +/- 2 minutes), an 80.4% reduction (p<0.001).

CONCLUSION: The implementation of a red box system improved the quality of emergency patient care in the ED of a tertiary teaching hospital as evidenced by significant reductions in DTD and DTA time.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

PreviousNext
Back to top

In this issue

Saudi Medical Journal: 35 (7)
Saudi Medical Journal
Vol. 35, Issue 7
1 Jul 2014
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
Download PDF
Email Article

Thank you for your interest in spreading the word on Saudi Medical Journal.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Improving door-to-doctor and door-to-analgesia time in a tertiary teaching hospital emergency department through a novel ‘Red Box’ system
(Your Name) has sent you a message from Saudi Medical Journal
(Your Name) thought you would like to see the Saudi Medical Journal web site.
Citation Tools
Improving door-to-doctor and door-to-analgesia time in a tertiary teaching hospital emergency department through a novel ‘Red Box’ system
Ismail M. Saiboon, Nariman Singmamae, Mohd J. Jaafar, Bala K. Muniandy, Kamal Sengmamae, Faizal A. Hamzah, Nur S. Mohtar, Ho S. Eng, Colin E. Robertson
Saudi Medical Journal Jul 2014, 35 (7) 718-723;

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Improving door-to-doctor and door-to-analgesia time in a tertiary teaching hospital emergency department through a novel ‘Red Box’ system
Ismail M. Saiboon, Nariman Singmamae, Mohd J. Jaafar, Bala K. Muniandy, Kamal Sengmamae, Faizal A. Hamzah, Nur S. Mohtar, Ho S. Eng, Colin E. Robertson
Saudi Medical Journal Jul 2014, 35 (7) 718-723;
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One
Bookmark this article

Jump to section

  • Article
  • eLetters
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Hematological parameters in recent and past dengue infections in Jazan Province, Saudi Arabia
  • Longitudinal analysis of foodborne disease outbreaks in Saudi Arabia
  • Psychological stress and its association with bronchial asthma in Saudi Arabia
Show more Original Article

Similar Articles

CONTENT

  • home

JOURNAL

  • home

AUTHORS

  • home
Saudi Medical Journal

© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

Powered by HighWire