QUESTIONNAIRE:
Emergency Department Throughput Crowding and Financial Outcomes for
Hospitals
This survey is a part of our MBA degree program at Dow Institute of Business and Health
Management. All responses that would be kept confidential and anonymous. It would be
highly appreciated if you spare your time to fill up this questionnaire as it will help us to
conduct our research.
Applicant Designation:
Consultant
Physician
Resident
House Officer/ Intern
Nurse
ED Operator
Other: ____________________________
No of Personnel work in ED:
Consultant: __________
Physician: __________
Resident: ___________
Registered Nurses: __________
Paramedic Staff: __________
ED Technician: _____________
Daily average no. of patients in Emergency Department: ____________
Average waiting time of Patient: _______________
Average length of stay in Emergency Department: _________________
Patients come in emergency are mostly:
Age:
Infants
Children (2 – 16)
Young Adults (17 – 30)
Middle-aged Adults (31 – 45)
Old-aged Adults (Above 45)
Condition:
Good: The patient’s vital signs are stable and within normal limits. He or she is
conscious and comfortable, with excellent indicators for recovery.
Fair: The patient’s vital signs are stable and normal, and the patient is conscious,
but he or she might be uncomfortable. Indicators for recovery are favorable.
Serious: The patient is very ill, and might have unstable vital signs outside the
normal limits. Indicators are questionable.
Critical: The patient has unstable vitals that are not normal, and could be
unconscious. Indicators for recovery are unfavorable.
S.No Strongly Agree Neutral Disagree Strongly
Agree Disagree
1. Shortage of medical staff specialized in
emergency medicine
2. Shortage of nursing staff specialized in
emergency.
3. Long time consumed in laboratory, radiology and
other procedures.
4 The physician documentation process for patients
which leads to consuming a long time in
examination process
5 Emergency department don`t adopt the initial
examination process.
6 The hospital admits large number of patients
regardless of its possibility.
7 Inability of the hospital to predict the numbers of
patients who come to emergency
8 Emergency department staff (Nurses and
physicians) feels stressed due to their shortage of
staff
9 Emergency department staff (Nurses and
physicians) feels stressed due to the large number
of patients
10 Lack of coordination between workers in
emergency department
11 Records and forms used in recording admission
of patients are multiple and diverse leading to
confusion
12 Lack of beds for patients hospitalized in ED
13 Number of beds in hospitals are not enough for
patients hospitalization
14 Patient stay for long in emergency department in
order to wait for free hospital bed
15 Patient come in ED leave hospital without being
seen
16 The continuous increase in the number of patients
under constant the possibilities of ED
17 Patients come in ED are not considered
emergency cases
18 Majority of patients coming to the emergency
department at the evening time
19 Some patients interfere in the work of the doctor
and request treatments that are not needed for the
patient
20 Moving patient from ambulance to ED is difficult
due to ED infrastructure
21 Place allocated to ED by hospital is congested
22 There should be more number of physician and
nurses in ED department
23 Radiological, imaging, and other diagnostic
services are easily available within a reasonable
period of time for individuals who require these
services.
24 Adequate provisions for the safety of the ED
staff, patients, and visitors
25 Equipment and supplies are of high quality and
appropriate
26 Necessary equipment and supplies are
immediately available in the facility at all times.
27 Necessary drugs and agents are immediately
available
28 Sick people have to wait too long to receive care
29 Patient leave the hospital without being treated
because of lack of resources
30 Overcrowding reduces the quality of care
and
increases medical errors
Overcrowding reduces the quality of care
and
increases medical errors
Overcrowding reduces the quality of care
and
increases medical errors
Overcrowding reduces the quality of care
and
increases medical errors
overcrowding reduce the quality of care
31 Overcrowding leads to increases in medical errors
32 Mortality rate in ED is high
33 Patient died due to lack of availability of
resources in ED
34 Patient died before getting admission in ED
35 Patient has to stay for long in ED because of the
ED admission procedure
36 Patients are not discharged on weekends
37 Patient come in ambulance taken to another
hospital due to non-availability of bed in ED
38 Consultants arrived immediately in ED whenever
they are called
39 Patient died due to the delay in admission of ICU
40 Patients has to wait for long in ED due to the
delay in labs and radiology results
