Factors associated with emergency department green zone utilization in hospital

Introduction: In hospital, emergency departments are highly utilized by patients. Overcrowding, congestion and long waiting time were among the issues highlighted resulting from it. In Selangor, there has been a steady increase in utilization of emergency department of government hospitals over the past five (5) years. Utilization of green zone was the highest in these hospitals. Being a department that provides a comprehensive emergency service and provides easy access for the community, issues of appropriateness utilization arise. This study aims to determine the level of appropriateness of green zone utilization by patients attending Emergency Department in Serdang Hospital and factors influencing its utilization. Methodology: A cross-sectional study was conducted in Emergency Department of Serdang Hospital. Sample sizes of green zone adult patients were obtained by systematic random sampling. Emergency Medicine and Trauma Services Policy Malaysia 2012 were used to classify patients to appropriate and inappropriate utilization of green zone. Pre-tested self-administered questionnaire were used to interview patients. Descriptive statistics, chi-square test and logistic regression used to analyse the data collected. Data analysis conducted using IBM SPSS Statistics version 22 and p value significant at