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Flow in the ED

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7 papers 0 to 25 followers
https://www.readbyqxmd.com/read/26999707/sustainable-mechanism-to-reduce-emergency-department-ed-length-of-stay-the-use-of-ed-holding-ed-transition-orders-to-reduce-ed-length-of-stay
#1
Samir A Haydar, Tania D Strout, Michael R Baumann
OBJECTIVE: The objective was to evaluate the effect of an emergency clinician-initiated "ED admission holding order set" on emergency department (ED) treatment times and length of stay (LOS). We further describe the impact of a performance improvement strategy with sequential plan-do-study-act (PDSA) cycles used to influence the primary outcome measures, ED LOS, and disposition decision to patient gone (DDTPG) time, for admitted patients. METHODS: We developed and implemented an expedited, emergency physician-facilitated admission protocol that bypassed typical inpatient workflows requiring inpatient evaluations prior to the placement of admission orders...
July 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/26531863/developments-in-surge-research-priorities-a-systematic-review-of-the-literature-following-the-academic-emergency-medicine-consensus-conference-2007-2015
#2
REVIEW
Melinda J Morton, Matthew L DeAugustinis, Christina A Velasquez, Sonal Singh, Gabor D Kelen
OBJECTIVES: In 2006, Academic Emergency Medicine (AEM) published a special issue summarizing the proceedings of the AEM consensus conference on the "Science of Surge." One major goal of the conference was to establish research priorities in the field of "disasters" surge. For this review, we wished to determine the progress toward the conference's identified research priorities: 1) defining criteria and methods for allocation of scarce resources, 2) identifying effective triage protocols, 3) determining decision-makers and means to evaluate response efficacy, 4) developing communication and information sharing strategies, and 5) identifying methods for evaluating workforce needs...
November 2015: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/25793249/borrowing-yet-another-technique-from-manufacturing-investigators-find-that-operational-flexibility-can-offer-dividends-to-ed-operations
#3
(no author information available yet)
Through the use of a sophisticated modeling technique, investigators at the University of Cincinnati have found that the creation of a so-called "flex track" that includes beds that can be assigned to either high-acuity or Iow-acuity- patients has the potential to lower mean wait times for patients when it is i added to the traditional fast-track and high-acuity areas of a 50-bed ED that sees 85,000 patients per year. Investigators used discrete-event simulation to model the patient flow and characteristics of the ED at the University of Cincinnati Medical Center, and to test out various operational scenarios without disrupting real-world operations...
March 2015: ED Management: the Monthly Update on Emergency Department Management
https://www.readbyqxmd.com/read/25836947/comprehensive-bedside-point-of-care-testing-in-critical-ed-patients-a-before-and-after-study
#4
Adam J Singer, Justin Williams, Maria Taylor, Deborah Le Blanc, Henry C Thode
OBJECTIVE: We determined the effects of comprehensive point-of-care testing (POCT) on process of care in critically ill emergency department (ED) patients. We hypothesized that POCT would shorten ED length of stay (LOS), reduce time to test results, and reduce time to completion of intravenous (IV) contrast computed tomography (CT) imaging compared with central lab testing. METHODS: A before and after study was performed in ED patients triaged to the critical care area...
June 2015: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/25671043/in-response-to-using-lean-based-systems-engineering-to-increase-capacity-in-the-emergency-department
#5
LETTER
Marian J Vermeulen, Michael J Schull
No abstract text is available yet for this article.
January 2015: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/24207160/implementing-wait-time-reductions-under-ontario-government-benchmarks-pay-for-results-a-cluster-randomized-trial-of-the-effect-of-a-physician-nurse-supplementary-triage-assistance-team-mdrnstat-on-emergency-department-patient-wait-times
#6
RANDOMIZED CONTROLLED TRIAL
Ivy Cheng, Jacques Lee, Nicole Mittmann, Jeffrey Tyberg, Sharon Ramagnano, Alex Kiss, Michael Schull, Fergus Kerr, Merrick Zwarenstein
BACKGROUND: Internationally, emergency departments are struggling with crowding and its associated morbidity, mortality, and decreased patient and health-care worker satisfaction. The objective was to evaluate the addition of a MDRNSTAT (Physician (MD)-Nurse (RN) Supplementary Team At Triage) on emergency department patient flow and quality of care. METHODS: Pragmatic cluster randomized trial. From 131 weekday shifts (8:00-14:30) during a 26-week period, we randomized 65 days (3173 visits) to the intervention cluster with a MDRNSTAT presence, and 66 days (3163 visits) to the nurse-only triage control cluster...
November 11, 2013: BMC Emergency Medicine
https://www.readbyqxmd.com/read/20618934/the-impact-of-delays-to-admission-from-the-emergency-department-on-inpatient-outcomes
#7
Qing Huang, Amardeep Thind, Jonathan F Dreyer, Gregory S Zaric
BACKGROUND: We sought to determine the impact of delays to admission from the Emergency Department (ED) on inpatient length of stay (LOS), and IP cost. METHODS: We conducted a retrospective analysis of 13,460 adult (>or= 18 yrs) ED visits between April 1 2006 and March 30 2007 at a tertiary care teaching hospital with two ED sites in which the mode of disposition was admission to ICU, surgery or inpatient wards. We defined ED Admission Delay as ED time to decision to admit > 12 hours...
2010: BMC Emergency Medicine
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