Implementation of Simulation for the Improvement of Emergency Service Quality by High-Educated Specialist Nurses Employment: Turkish Health System

Emergency departments are the cornerstone of health care systems. In this study, the work of the emergency services system in Turkey were examined. The intensities of the emergency services are becoming immeasurable in the present situation. This is mainly due to the fact that the majority of patients who come to emergency services are not urgent in emergency departments. This study suggests that patients who are not urgent or outpatient in emergency services should be treated by highly-educated specialist nurses (YSN). In this case, it is aimed to treat more patients, to reduce the waiting time of the patients and therefore the duration of the patients' stay in the emergency services. It is also aimed to increase the efficiency of the resources employed in emergency services. According to the simulation example applied on 1/24 and 7/24 basis, it was observed that the number of patients treated by providing employment of YUH was increased by 26,71% on the basis of 1/24 and 15,13% on the basis of 7/24. The waiting time for treatment was reduced by 38.67% on 1/24 basis and 53.66% on 7/24 basis, respectively, from the time the patients were enrolled in emergency services. Likewise, the time required for a patient to be treated in emergency services for treatment was reduced from an average of 82.46 minutes to 53.97 minutes. Among the findings, it has been seen that the efficiency of the employment of YUH has provided a balance in the efficiency rates of the resources by not getting the efficiency as high as the resources employed in the emergency services. In addition, it has been found that the employment intensity of physicians decreases with the employment of YUH