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