Impact of Improving Throughput in the Emergency Department PDF Download
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Author: Katherine J. Edrington
Publisher:
ISBN:
Category :
Languages : en
Pages :
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Book Description
The purpose of this project was to evaluate the patient experience in the emergency department (ED) and in the inpatient setting while correlating increased throughput and patient outcomes at a suburban Acute Care facility in Ohio. The culture in the organization has lacked accountability and ownership of the patients. The ED admitted length of stay (ALOS) was 358 minutes in the beginning of 2013. For the first time in the organization's history, the ED ALOS is now typically less than the recommended benchmark of 300 minutes. A report of findings among ED's surveyed showed the ALOS best practice is 244 minutes with a median length of stay of 309 minutes (Premier, 2006, slide 13). Throughout its recent history, the organization has failed to have a service-oriented approach to patient care. Quality improvement was identified and implemented through a hospital-wide Kaizen event focused on throughput of the admitted patient (Appendix A). According to King (2010), the Japanese words Kai and Zen literally means "to change" and "for the better", and it has come to symbolize continuous improvement (slide 5). Teams of individuals ranging from physicians to transporters spent one week of work time focused on the process mapping of the current state and future state of ED throughput. The use of information technology (IT) in the process improvement was integral to performance improvement, patient safety, and consistent ED ALOS less than 300 minutes. The transformation of the culture has aided in the success of maintaining patient throughput
Author: Katherine J. Edrington
Publisher:
ISBN:
Category :
Languages : en
Pages :
Get Book Here
Book Description
The purpose of this project was to evaluate the patient experience in the emergency department (ED) and in the inpatient setting while correlating increased throughput and patient outcomes at a suburban Acute Care facility in Ohio. The culture in the organization has lacked accountability and ownership of the patients. The ED admitted length of stay (ALOS) was 358 minutes in the beginning of 2013. For the first time in the organization's history, the ED ALOS is now typically less than the recommended benchmark of 300 minutes. A report of findings among ED's surveyed showed the ALOS best practice is 244 minutes with a median length of stay of 309 minutes (Premier, 2006, slide 13). Throughout its recent history, the organization has failed to have a service-oriented approach to patient care. Quality improvement was identified and implemented through a hospital-wide Kaizen event focused on throughput of the admitted patient (Appendix A). According to King (2010), the Japanese words Kai and Zen literally means "to change" and "for the better", and it has come to symbolize continuous improvement (slide 5). Teams of individuals ranging from physicians to transporters spent one week of work time focused on the process mapping of the current state and future state of ED throughput. The use of information technology (IT) in the process improvement was integral to performance improvement, patient safety, and consistent ED ALOS less than 300 minutes. The transformation of the culture has aided in the success of maintaining patient throughput
Author: John M. Shiver
Publisher: CRC Press
ISBN: 1420084976
Category : Business & Economics
Languages : en
Pages : 264
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Book Description
Across the country ambulances are turned away from emergency departments (EDs) and patients are waiting hours and sometimes days to be admitted to a hospital room. Hospitals are finding it hard to get specialist physicians to come to treat emergency patients. Our EDs demand a new way of thinking. They are not at a tipping point; they are at a break
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133777
Category : Medical
Languages : en
Pages : 424
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Book Description
Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: • The role and impact of the emergency department within the larger hospital and health care system. • Patient flow and information technology. • Workforce issues across multiple disciplines. • Patient safety and the quality and efficiency of emergency care services. • Basic, clinical, and health services research relevant to emergency care. • Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.
Author: Stephanie Kayden
Publisher: Cambridge University Press
ISBN: 1107007399
Category : Business & Economics
Languages : en
Pages : 375
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Book Description
Written for a global audience, by an international team, the book provides practical, case-based emergency department leadership skills.
Author: Angela Marie Hong Smith
Publisher:
ISBN: 9781124084558
Category : Dissertations, Academic
Languages : en
Pages : 49
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Book Description
Delays in Emergency department throughput for critically ill patients are obstacles which contribute to ED overcrowding. Overcrowding in the ED can lead to compromised critical patient safety and delays in recognizing deterioration in a patient's condition and starting critical interventions. A general systems theory describing ED process as input, throughput and output was the framework used in this study. A quantitative, retrospective, electronic chart review of critically ill patients was performed to analyze interval times for patient processes performed within the ED. All adult patients admitted to critical care units from the ED during the third and fourth quarters of 2009 have been included. A sample of 50 charts were reviewed of critically ill patients admitted directly from the ED from July 1, 2009 to December 31, 2009. The knowledge gained from these findings, which were the identification of increased time spent in the ED due to an admission MD assessment plus the arrival of patients during the first shift, was found to impact ED throughput and ED overcrowding. Through the identification of these multiple factors which were found within the ED, policies on improving these delays can improve throughput process of all patients seen in the ED.
Author: Jody Crane MD MBA
Publisher: CRC Press
ISBN: 1439895384
Category : Business & Economics
Languages : en
Pages : 344
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Book Description
In a unique and integrated approach, The Definitive Guide to Emergency Department Operational Improvement: Employing Lean Principles with Current ED Best Practices to Create the "No Wait" Department exposes you to the academics behind managing the complex service environment that is the ED. The book combines applied management science and ED experi
Author: Eugene Litvak
Publisher:
ISBN: 9781635850406
Category : Hospital care
Languages : en
Pages : 200
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Book Description
Optimizing patient flow : advanced strategies for managing variability to enhance access, quality, and safety offers readers innovate techniques for maximizing patient flow and improving operations management while providing clear examples of successful impementation. This all-new book can help health care organizations to reduce and manage variability, thereby increasing the reliablity of systems and processes and improving health care quality and safety.
Author: Sandra L. Furterer
Publisher: Springer Science & Business Media
ISBN: 1447155831
Category : Technology & Engineering
Languages : en
Pages : 400
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Book Description
This book provides a detailed description of how to apply Lean Six Sigma in the health care industry, with a special emphasis on process improvement and operations management in hospitals. The book begins with a description of the Enterprise Performance Excellence (EPE) improvement methodology developed by the author that links several methodologies including systems thinking, theory of constraints, Lean and Six Sigma to provide an enterprise-wide prioritization and value-chain view of health care. The EPE methodology helps to improve flow at the macro or value-chain level, and then identifies Lean Six Sigma detailed improvements that can further improve processes within the value-chain. The book also provides real-world health care applications of the EPE and Lean Six Sigma methodologies that showed significant results on throughput, capacity, operational and financial performance. The Enterprise Performance Excellence methodology is described, and also the Six Sigma DMAIC (Define-Measure-Analyze-Improve-Control) problem solving approach which is used to solve problems for health care processes as they are applied to real world cases. The case studies include a wide variety of processes and problems including: emergency department throughput improvement; operating room turnaround; operating room organization; CT imaging diagnostic test reduction in an emergency department; linen process improvement; implementing sepsis protocols in an emergency department; critical success factors of an enterprise performance excellence program.
Author:
Publisher:
ISBN: 9781897257296
Category : Emergency medical services
Languages : en
Pages : 0
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Book Description
Author: Michael S. Firstenberg
Publisher: BoD – Books on Demand
ISBN: 9535137301
Category : Medical
Languages : en
Pages : 204
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Book Description
Over the past two decades, the healthcare community increasingly recognized the importance and the impact of medical errors on patient safety and clinical outcomes. Medical and surgical errors continue to contribute to unnecessary and potentially preventable morbidity and/or mortality, affecting both ambulatory and hospital settings. The spectrum of contributing variables-ranging from minor errors that subsequently escalate to poor communication to lapses in appropriate protocols and processes (just to name a few)-is extensive, and solutions are only recently being described. As such, there is a growing body of research and experiences that can help provide an organized framework-based upon the best practices and evidence-based medical principles-for hospitals and clinics to foster patient safety culture and to develop institutional patient safety champions. Based upon the tremendous interest in the first volume of our Vignettes in Patient Safety series, this second volume follows a similar vignette-based model. Each chapter outlines a realistic case scenario designed to closely approximate experiences and clinical patterns that medical and surgical practitioners can easily relate to. Vignette presentations are then followed by an evidence-based overview of pertinent patient safety literature, relevant clinical evidence, and the formulation of preventive strategies and potential solutions that may be applicable to each corresponding scenario. Throughout the Vignettes in Patient Safety cycle, emphasis is placed on the identification and remediation of team-based and organizational factors associated with patient safety events. The second volume of the Vignettes in Patient Safety begins with an overview of recent high-impact studies in the area of patient safety. Subsequent chapters discuss a broad range of topics, including retained surgical items, wrong site procedures, disruptive healthcare workers, interhospital transfers, risks of emergency department overcrowding, dangers of inadequate handoff communication, and the association between provider fatigue and medical errors. By outlining some of the current best practices, structured experiences, and evidence-based recommendations, the authors and editors hope to provide our readers with new and significant insights into making healthcare safer for patients around the world.
