Abstract
This retrospective hospital records-based study focused on KSMC emergency department as one of the crowded hospitals in the country. Some delays were observed regarding the referral system from primary, secondary or tertiary hospital which plays an important role in the admission process in this hospital, so it's necessary to investigate the nature of referred cases and the final outcome. Our study based on hospital records data to collect information regarding patient's status, arrival time, interventional time, final outcome additionally to other variables. Statistical analysis was performed using frequency, descriptive statistics, chi-square test, fisher exact test, Pearson correlation, relative risk and odd ratio. Our results found that there's some delay in a patient's arrival to the emergency department. But no significant delay was observed after the patient's arrival; also, the delay on intervention was observed to be correlated with poor final outcome.