PT - JOURNAL ARTICLE AU - Eroglu, Serkan E. AU - Toprak, Siddika N. AU - Urgan, Oguz AU - Onur, Ozge E. AU - Denizbasi, Arzu AU - Akoglu, Haldun AU - Ozpolat, Cigdem AU - Akoglu, Ebru TI - Evaluation of non-urgent visits to a busy urban emergency department DP - 2012 Sep 01 TA - Saudi Medical Journal PG - 967--972 VI - 33 IP - 9 4099 - http://smj.org.sa/content/33/9/967.short 4100 - http://smj.org.sa/content/33/9/967.full SO - Saudi Med J2012 Sep 01; 33 AB - OBJECTIVE: To identify the proportion of patients who were taken into the emergency room on the basis of legal regulations and non-urgent medical procedures.METHODS: This prospective study was conducted in the Emergency Department, Toros State Hospital, Mersin, Turkey. Data were collected over 4 weeks (January 2011) and then analyzed using the Kolmogorov-Smirnov, Analysis of Variance, and Kruskal-Wallis H tests.RESULTS: During the study period, 21,014 patients visited the Emergency Department. The applications were measured during a 3-shift schedule (08-16, 16-00, 00-08 hours). The total number of ordinary emergency admissions was 16,370. Of the total, 4,644 (22.1%) of the visits were evaluated as inappropriate. According to our study, inappropriate use of the emergency department was 51.1% more frequent during the 08-16 hours shift than the others.CONCLUSION: Inappropriate use of EDs with non-urgent applications makes it difficult to guarantee access for real emergency cases, decreases the readiness for care, and produces negative spillover effects on the quality of emergency services.