Patient leaving. Why?

[WondrinOstrich]

I have an ER clinical patient leaving for waiting too long and not getting treatment yet.

https://steamcommunity.com/sharedfiles/filedetails/?id=2508195982

Hand contusion diagnosed 100%, even still scheduled for an xray lower limb,
his doctor is a fellow with spec. in advanced diagnosis, ER diag-certainty is set to high.

Patients card says patient is 4* glad with "short wait+" and + entry everywhere else.

how is this comparable?

[for_*****_games]

I wish to have an answer to this too. I have ER diagnosis certainty set to medium, but it seems like contusions take a long time to treat. It's something that I have noted for a long time.

[Rabs]

I can't see the screenshot to know, so I can only offer general information for what I've seen on patients leaving. First, if a patient complains they're leaving it has nothing to do with satisfaction. If they spend 12 hours without getting a bed or treatment, they leave. The short wait is just that they saw their first doctor quickly.

For limb contusions, it should only take two or three exams to reach that condition and administer the numbing ointment treatment to get them out of the door. There's not a lot of places where "I waited 12 hours and am leaving" can really happen. First is the interview/triage at reception. Then when they see the clinic doctor they get a physical exam. That narrows it down to a fracture or contusion, which needs an x-ray as the third piece to finalize the condition.

Somewhere along the chain it's taking a very long time to get an exam done. Since every clinic patient isn't complaining and leaving, I assume it's the x-ray getting backed up and they just sit there waiting in Radiology all day.

For the specific case mentioned, it really sounds like x-ray is backed up since he's needed two (doctor scheduled him for an upper and lower limb x-ray it sounds like... he doesn't need his legs x-rayed for a hand injury). It sounds like he got the upper limb x-ray which solidified his diagnostic as a hand contusion. But they didn't cancel his other exam that was queued up so he's sitting in the Radiology waiting room again for a second useless x-ray.

Assuming all of that is true: (a) you can manually cancel the lower limb x-ray if it hasn't technically started yet. That should send him back to the clinic to get his cream and go home. (b) you probably have a supercritical workload on x-rays and need another one. (c) high certainty on the ER clinic feels like overkill. That's a lot of wasted time on exams that aren't needed. Usually if a patient gets ready to leave I have 4 pages of past exams (so ~20 exams and no treatment). It takes 3 to get to contusion, so that's either 17 wasted exams or massive wasted time elsewhere in the hospital (like bathroom breaks 90 tiles away).

As for contusions themselves taking long to treat, that hasn't been my experience. They're quick in-and-out treatments unless the patient came in through ambulance and is stuck in trauma for 8 hours because hospitalized patients can't just be sent home instantly. I have contusions in the clinic get sent home in a jiffy.

[WondrinOstrich]

Originally posted by Rabs:

... But they didn't cancel his other exam that was queued up so he's sitting in the Radiology waiting room again for a second useless x-ray.

...(a) you can manually cancel the lower limb x-ray if it hasn't technically started yet.
...(b) you probably have a supercritical workload on x-rays and need another one.
...(c) high certainty on the ER clinic feels like overkill...

I guess that pretty much covers it all, thanks Rabs - in the meantime I built my own ER Offices with attached commonroom and toilet each for 2 offices exclusivly, that helps. restructure of radiology and labs did also help a lot.

the thing with those useless exams is still something I do not yet understand, but I will get behind this. sometimes I see patients leaving with unfinished (and not much userful) exams (green icon) but still treated and all well. every other case there's some undetected symptoms though and I wonder why the doctors won't check it, when certainty is on high, but I will get behind this too, I hope... maybe it's the patient saying "I don't wanna know, and sportsgame-TV is starting in an hour..." - high certainty probably is not so important at all, I guess ;-)

to manually go through all my patients for cancelling not necessary exams would be a lot of work, for I've got a lot of people coming to my hospital :/ though I am checking here and there all the time, for I like this diagnostic implementation in the game :)

Working on a nearly perfect workflow with all that (radiology / lab structures and upgraded offices etc) before switching to any hospitalisation is in order!

thanx for_*****_games and Rabs for your input !!
:)

edit: the thing with not being able to put screenshots smoothly in a post is something I fear steam will never tackle...

[Buckshot]

Maybe not related to this thread, but the other day a receptionist walked out on me in mid morning. They just decided to get up and leave? LOL. They did come back the next day, but it was funny to see a staff walk out. Maybe they were bored or feeling sick? Is that coded in this game?

[Alphakuh]

Maybe you had no X-ray in the night? And the doctor send him to X-ray instead of treating him?

[roman.oxymoron]

There is always some message in log that explains why the patient is leaving ;)