Background: Patient flow reflects the ability of the healthcare system to serve patients quickly and efficiently as they move through stages of care. This study was carried out to determine length of stay (LOS) and duration of each stage of patient flow process inside the main emergency health facilities, identify barriers to patient flow, and assess patient satisfaction with the provided care.

Methods: This is a cross-sectional study that included 420 patients attending the emergency departments (ED) of Tanta University Hospital and Elmenshawy ‎General Hospital from September 2021 to September 2022. Data were collected using the predesigned questionnaire sheet.

Results: Main barriers to patients’ flow were large number of relatives (30.2%), shortage of medical supplies (29.3%), and non-finding triage system (38.8%). Delay regarding total LOS of acuity level 2, 3 and 4. Statistically significant negative correlations were found between the patients’ satisfaction score and the total final score of satisfaction and the registration time, disposition time, and the consultations time.

Conclusions: The main barriers impacting the patients’ flow in the ED were large number of relatives, shortage of medical supplies, non-applicated triage system. Maintained patient flow with delay regarding total LOS of acuity level 2, 3 and 4. The overall waiting time, and the quality of services in the emergency room were the main points of patients’ dissatisfaction in this study.