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All Journal Universa Medicina Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Naidu, Thaalitha
Unknown Affiliation
Health Professions Immunology & microbiology Medicine & Pharmacology Public Health

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Optimizing Discharge Processes to Alleviate Emergency Department Overcrowding: An Audit in a Central Malaysian Tertiary Hospital Naidu, Thaalitha; Abdul Kadir, Nurulalnissa; Suriya Kumareswaran Vallasamy
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 8 No. 7: JULY 2025 - Media Publikasi Promosi Kesehatan Indonesia (MPPKI)
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v8i7.7272

Abstract

Introduction: Emergency Department (ED) overcrowding is a global challenge, often exacerbated by delays in discharging patients from inpatient wards. In Malaysia, this issue is especially pressing in tertiary hospitals, where prolonged discharge times hinder bed turnover and contribute to ED congestion. Methods: A 30-day cross-sectional audit was conducted in a medical ward of a central tertiary hospital in Malaysia, involving 109 consecutively discharged patients selected via total sampling. Discharge duration was measured from the point of medical fitness for discharge to actual bed vacancy. Data were analysed using descriptive statistics to identify patterns and sources of delay. Results: The mean discharge duration was 420 minutes—more than double the 180-minute target—with only 7% of patients meeting the benchmark. Key delay factors included insufficient pre-discharge planning, limited staffing, delayed documentation and pharmacy processes, poor IT infrastructure, logistical challenges, and social support issues. Complex cases requiring multidisciplinary input experienced the longest delays. Conclusion: To improve hospital efficiency and reduce ED overcrowding, hospitals should implement structured early discharge planning, enhance staffing, upgrade digital infrastructure, and establish a discharge lounge. Strengthening interdepartmental coordination and integrating social support services earlier in the discharge process are also crucial.
Navigating the storm of healthcare workers burnout in the COVID-19 era: a bibliometric analysis Kumareswaran, Suriya; Sundram, Bala Murali; Naidu, Thaalitha
Universa Medicina Vol. 44 No. 2 (2025)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2025.v44.219-231

Abstract

The COVID-19 pandemic has imposed unprecedented challenges on healthcare systems globally, significantly impacting healthcare workers (HCWs) and intensifying the incidence of occupational burnout. Characterized by emotional exhaustion, depersonalization, and diminished personal accomplishment, burnout has been further exacerbated by pandemic-specific stressors such as resource limitations, fear of contagion, overwhelming workloads, and emotional fatigue. This bibliometric analysis systematically evaluated 2,043 peer-reviewed publications from 2019 onwards, retrieved from major databases including Web of Science, Scopus, and PubMed. Using tools such as VOS viewer, the study analysed keyword trends, author collaborations, citation metrics, and thematic clusters to map the evolving academic landscape surrounding HCWs burnout during COVID-19. The results revealed significant research diversity, with contributions from 11,156 unique authors and a collaboration index of 6.65, indicating robust interdisciplinary engagement. High research output and citation impact were observed in countries such as the United States, China, Italy, and the United Kingdom. Prominent themes included “COVID-19,” “burnout,” “mental health,” and “nurses,” highlighting the psychological toll on frontline professionals. Keyword co-occurrence and heatmap analyses demonstrated a shift in scholarly focus from the immediate crisis to long-term strategies for resilience and recovery. Despite these insights, notable disparities in research output persist, particularly in underrepresented regions such as France and several low- and middle-income countries. These imbalances may hinder the development of globally relevant, context-specific interventions. The study underscores the urgent need for inclusive, multidisciplinary collaboration to inform policy, guide mental health interventions, and enhance support systems for HCWs in current and future healthcare emergencies.
Co-Authors Abdul Kadir, Nurulalnissa Kumareswaran, Suriya Sundram, Bala Murali Suriya Kumareswaran Vallasamy