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The Emergency Department is crucial for managing acute hospital cases, directly impacting patient survival. The quality of nursing services, shaped by the assurances provided by nurses in emergency settings, has emerged as a key factor in healthcare quality.

This study aims to explore the relationship between service guarantees in the Emergency Department and various indicators of service quality, including emergency response times, patient safety incidents, the frequency of IV catheter insertions, and life-saving interventions. This study utilized an observational sheet to collect data across three hospitals- R. Dr Kariadi, R. Wongsonegoro, and R. Tugurejo- during May and June The primary independent variable was the guarantee of emergency department services, while the dependent variables included emergency response time, patient safety incidents, the necessity for multiple IV catheter insertions, and the effectiveness of life-saving measures.

Bivariate analysis revealed significant correlations between the guarantee of emergency department services and several quality indicators. Specifically, emergency response time correlated with a p-value of 0. The study confirms a significant correlation between the assurance of services by emergency department nurses and key quality metrics, such as response times, patient safety, efficiency in IV catheter insertion, and life-saving interventions.

This underscores the importance of robust service guarantees to enhance emergency care outcomes. The Emergency Department ED serves as the frontline of healthcare delivery for managing acute and life-threatening conditions, playing a pivotal role in patient outcomes and overall healthcare quality. As the primary unit responsible for triaging, assessing, and treating patients in critical situations, the ED's efficiency and effectiveness are paramount in ensuring optimal patient care and survival [1].

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