Comparison of Performance Indices of Emergency Departments before and after Implementation of Specialist Residency Program under the Health Sector Evolution Plan in the Hospitals of Bushehr University of Medical Sciences, Iran

Due to the importance of the emergency department of hospitals, section three of health sector evolution plan emphasizes on the specialist residency program in governmental hospitals. The purpose of this study was the comparison of performance indices of Emergency Departments before and after implementation of specialist residency program under the health sector evolution plan in the hospitals of Bushehr University of Medical Sciences, Iran.
This was a descriptive-analytic study performed at the Bushehr University of Medical Sciences public hospitals. The researcher collected performance indicators of the emergency ward during 2013 and 2014 period by visiting the university’s deputy of health. Data were analyzed using paired t-test and differences were presented descriptively.
The result of comparing performance indicators using paired t-test showed that the difference observed in performance indicators including the percentage of patients who processed in 6 hours, the percentage of patients discharged from the department within 12 hours, patients discharged against medical advice and the average duration of triage in emergency was significant (P Instructions in healthcare evolution plan for specialist residency in public hospitals were successful in improving performance indicators of emergency ward except for the unsuccessful CPR percentage which showed no significant change. In general, this plan has improved the performance indicators of emergency ward and, if continued and continuously improved, can lead to the improvement of other hospital indicators and ultimately the improvement of healthcare as a whole.