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Journal of Medical Sciences 2011;14(2):61-62 Emergency Department of SKIMS is 4.3 days which needs to be reduced to less than 24 hours so that emergency beds can be utilized for fresh patients attending the Accident Emergency Department. Close coordination, practice of evidence based medicine and discharge policy based on rational scientific and 5 realistic approach could go a long way in solving this problem. Further research is needed to determine the factors leading to prolonged length of stay in progressive patient care areas. Sher-iKashmir Institute of Medical Sciences has excellent diagnostic investigation backup facilities and to decrease time gap between samples sent and reports received could be minimised by providing efficient logistic support. Huge rush of accident and emergency cases could be to some extent decreased by mobilizing equipment and human resource available in district level hospitals and by adopting a rational referral policy. A separate trauma care centre is the need of the hour.

Average length of stay in Level III and IV Care of Accident and Emergency Department of Tertiary care Hospital