• F M Brun Romero, J F Benítez Macías, D García Gil, and J López Alvaro.
• Servicio de Urgencias, Hospital Universitario Puerto Real, Puerto Real, Cádiz, España. franbrun@ono.com
• Rev Clin Esp. 2010 Apr 1;210(4):159-62.

ObjectiveTo measure the differences of waiting time for the emergency admission depending on which professional is in charge ie. the emergency doctor or the specialist of a specific area.Patients And MethodsOnce the Hospital Emergency Service was permitted to admit patients directly to the specialities, two periods of study where taken: Period A (before the direct admission) and Period B (after the implementation of it). The following was analysed: the number of patients taken, the complexity of their problem, the number of admissions and length of their stay.ResultsDuring Period A 41,917 patients were seen (228.07 patients/day) and during Period B 41,948 (230.48 patients/day). The average of the stay for those patients that were admitted directly from Emergencies had decreased by 1h and 42 min (p=0.001). The admissions in the Internal Medicine Service kept the same waiting time in both periods.ConclusionsThe transfer of the responsibility of the admissions to emergency doctors has decreased the average waiting time of the patients in this area. The total number of admissions has not increased and has reduced the amount of work the different specialist.Copyright 2009 Elsevier España, S.L. All rights reserved.

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