Interventions to improve the timeliness of emergency care

Academic Emergency Medicine

Volumn 18, Issue 12, 2011, Pages 1295-1302

  Handel, Daniel ^a   Epstein, Stephen ^b   Khare, Rahul ^c   Abernethy, Denise ^d   Klauer, Kevin ^e   Pilgrim, Randy ^f   Soremekun, Olan ^g   Sayan, Osman ^h  

^a OREGON HEALTH AND SCIENCE UNIVERSITY   (United States)

^b HARVARD UNIVERSITY   (United States)

^c NORTHWESTERN UNIVERSITY   (United States)

^d Emergency Nurses Association   (United States)

^e Emergency Medicine Physicians   (United States)

^f Schumacher Group   (United States)

^g UNIVERSITY OF PENNSYLVANIA   (United States)

^h Columbia University ^*  (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; EMERGENCY CARE; EMERGENCY HEALTH SERVICE; EMERGENCY WARD; HEALTH CARE PERSONNEL; HEALTH CARE QUALITY; HUMAN; PRIORITY JOURNAL; TECHNOLOGY; TIME MANAGEMENT; TIMELINESS; TOTAL QUALITY MANAGEMENT;

CROWDING; DIFFUSION OF INNOVATION; EMERGENCY MEDICINE; EMERGENCY SERVICE, HOSPITAL; FEMALE; HUMANS; INTERVENTION STUDIES; MALE; PATIENT CARE TEAM; QUALITY ASSURANCE, HEALTH CARE; QUALITY IMPROVEMENT; TIME MANAGEMENT; TRIAGE; UNITED STATES; WORKFLOW;

EID: 83655196903     PISSN: 10696563     EISSN: 15532712     Source Type: Journal    
DOI: 10.1111/j.1553-2712.2011.01230.x     Document Type: Article

References (46)

1. Smeltzer CH, Curtis L,. An analysis of emergency department time: laying the groundwork for efficiency standards. QRB Qual Rev Bull. 1987; 13: 240-2. (Pubitemid 17126469)
2. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington DC: National Academies Press, 2001.
3. Welch SJ, Asplin BR, Stone-Griffith S, Davidson SJ, Augustine J, Schuur J,. Emergency department operational metrics, measures and definitions: results of the second performance measures and benchmarking summit. Ann Emerg Med. 2011; 58: 33-40.
4. Graff L, Stevens C, Spaite D, Foody J,. Measuring and improving quality in emergency medicine. Acad Emerg Med. 2002; 9: 1091-107. (Pubitemid 35291537)
5. Lindsay P, Schull M, Bronskill S, Anderson G,. The development of indicators to measure the quality of clinical care in emergency departments following a modified-delphi approach. Acad Emerg Med. 2002; 9: 1131-9. (Pubitemid 35291541)
6. Emergency Nurses Association. Consensus Statement: Definitions for Consistent Emergency Department Metrics. Available at:. Accessed Sep 23, 2011.
7. Rao A, Kardouh Y, Darda S, et al., Impact of the prehospital ECG on door-to-balloon time in ST elevation myocardial infarction. Catheter Cardiovasc Interv. 2010; 75: 174-8.
8. Dent R, Armstead C,; Agency for Healthcare Research and Quality. Telephone Nurse Triage System Reduces Use of Emergency Department by Nonurgent Patients, Reducing Wait Times, Length of Stay, and Patient Walkouts. Available at:. Accessed Sep 23, 2011.
9. Urgent Matters Tool Kit. John F. Kennedy Medical Center: Bedside Triage and Registration. Available at:. Accessed Sep 23, 2011.
10. UrgentMatters Tool Kit. Cape Canaveral Hospital: Bedside Triage and Registration. Available at:. Accessed Sep 23, 2011.
11. Bonalumi N,. Kiosk Technology Improves Emergency Department Processes. Bluejay Consulting, LLC. Available at:. Accessed Sep 23, 2011.
12. Slovis C, Lemonds B,; Agency for Health Care Quality and Research. Team Triage Reduces Emergency Room Walkouts, Improves Patient Care. Available at:. Accessed Sep 23, 2011.
13. Subash F, Dunn F, McNicholl B, Marlow B,. Team triage improves emergency department efficiency. Emerg Med J. 2004; 21: 542-4. (Pubitemid 39232178)
14. Roche K, Agency for Health Care Quality and Research. Two-Track ED Process Flow Reduces the Number of Untreated Patients, Lengths of Stay, and Wait Times. Available at:. Accessed Sep 23, 2011.
15. Urgent Matters Tool Kit. Gwinnett Medical Center: Advanced Protocols. Available at:. Accessed Sep 23, 2011.
16. Rowe BH, Villa-Roel C, Guo X, et al., The role of triage nurse ordering on mitigating overcrowding in emergency departments: a systematic review. Acad Emerg Med. 2011; 18: 1349-1357.
17. Massey JS,; Agency for Health Care Quality and Research. Emergency Department Tracks and Streamlines Patient and Staff Flow, Leading to Shorter Treatment Time, Fewer Walkouts, and Higher Patient Satisfaction. Available at:. Accessed Sep 23, 2011.
18. Arya R, Salovich DM, Ohman-Strickland P, Merlin MA,. Impact of scribes on performance indicators in the emergency department. Acad Emerg Med. 2010; 17: 490-4.
19. Bastani A, Shaqiri B, Loch D, et al., Emergency department scribes-a profitable option for emergency physicians to maximize productivity [abstract]. Acad Emerg Med. 2011; 18: S199.
20. Urgent Matters Tool Kit. John F. Kennedy Medical Center: ED Scribes. Available at:. Accessed Sep 23, 2011.
21. Urgent Matters Tool Kit. Standardizing and Improving the ED Consult Process. Stony Brook. Available at:. Accessed Sep 23, 2011.
22. Fantz C, Franks N,; Agency for Healthcare Research and Quality. Emergency Department-Based Phlebotomists Expedite Blood Sample Collection and Turnaround Time, Reduce Specimen Contamination and Cost, and Increase Patient Satisfaction. Available at:. Accessed Sep 23, 2011.
23. Viccellio P,. Emergency department overcrowding: an action plan. Acad Emerg Med. 2001; 8: 185-7. (Pubitemid 32125342)
24. Viccellio P, Agency for Health Care Quality and Research. Transferring Admitted Emergency Department Patients to Hallway Beds Leads to Lower Length of Stay and Higher Patient Satisfaction. Available at:. Accessed Sep 23, 2011.
25. Urgent Matters Tool Kit. Boston Med Center: Surgery Smoothing Initiative. Available at:. Accessed Sep 23, 2011.
26. McManus ML, Long MC, Cooper A, et al., Variability in surgical caseload and access to intensive care services. Anesthesiology 2003; 98: 1491-6. (Pubitemid 36622487)
27. Powell ES, Khare RK, Venkatesh AK, Van Roo BD, Adams JG, Reinhart G,. The relationship between inpatient discharge timing and emergency department boarding. J Emerg Med. 2010 Sep 29. [Epub ahead of print].
28. Urgent Matters Tool Kit. The Regional Med Center at Memphis (The Med): Discharge Resource Room Decreases Throughput Time. Available at:. Accessed Sep 23, 2011.
29. Retezar R, Bessman E, Ding R, Zeger SL, McCarthy ML,. The effect of triage diagnostic standing orders on emergency department treatment time. Ann Emerg Med. 2011; 57: 89-99.
30. Rivers EP, Coba V, Rudis M,. Standardized order sets for the treatment of severe sepsis and septic shock. Expert Rev Anti Infect Ther. 2009; 7: 1075-9.
31. Levine RL, Hergenroeder GW, Miller CC, Davies A,. Venous thromboembolism prophylaxis in emergency department admissions. J Hosp Med. 2007; 2: 79-85. (Pubitemid 46730490)
32. Chan TC, Killeen JP, Kelly D, Guss DA,. Impact of rapid entry and accelerated care at triage on reducing emergency department patient wait times, lengths of stay, and rate of left without being seen. Ann Emerg Med. 2005; 46: 491-7. (Pubitemid 41676745)
33. Choi YF, Wong TW, Lau CC,. Triage rapid initial assessment by doctor (TRIAD) improves waiting time and processing time of the emergency department. Emerg Med J. 2006; 23: 262-5. (Pubitemid 44295313)
34. Travers JP, Lee FC,. Avoiding prolonged waiting time during busy periods in the emergency department: is there a role for the senior emergency physician in triage? Eur J Emerg Med. 2006; 13: 342-8. (Pubitemid 44715271)
35. Schafermeyer RW, Asplin BR,. Hospital and emergency department crowding in the United States. Emerg Med. 2003; 15: 22-7. (Pubitemid 36331332)
36. Moskop JC, Sklar DP, Geiderman JM, Schears RM, Bookman KJ,. Emergency department crowding, part 1 - concept, causes, and moral consequences. Ann Emerg Med. 2009; 53: 605-11.
37. Lucas R, Farley H, Twanmoh J, et al., Emergency department patient flow: the influence of hospital census variables on emergency department length of stay. Acad Emerg Med. 2009; 16: 597-602.
38. Bernstein SL, Aronsky D, Duseja R, et al., The effect of emergency department crowding on clinically oriented outcomes. Acad Emerg Med. 2009; 16: 1-10.
39. McCarthy ML, Zeger SL, Ding R, et al., Crowding delays treatment and lengthens emergency department length of stay, even among high-acuity patients. Ann Emerg Med. 2009; 54: 492-503.
40. Birkhahn RH, Haines E, Wen W, Reddy L, Briggs WM, Datillo PA,. Estimating the clinical impact of bringing a multimarker cardiac panel to the bedside in the ED. Am J Emerg Med. 2011; 29: 304-8.
41. Lewandrowski K,. Point-of-care testing for cardiac markers in acute coronary syndromes and heart failure. Clin Lab Med. 2009; 29: 561-71.
42. Lee-Lewandrowski E, Nichols J, Van Cott E, et al., Implementation of a rapid whole blood D-dimer test in the emergency department of an urban academic medical center: impact on ED length of stay and ancillary test utilization. Am J Clin Pathol. 2009; 132: 326-31.
43. Storrow AB, Zhou C, Gaddis G, et al., Decreasing lab turnaround time improves emergency department throughput and decreases emergency medical services diversion: a simulation model. Acad Emerg Med. 2008; 15: 1130-5.
44. Hsiao AL, Santucci KA, Dziura J, Baker MD,. A randomized trial to assess the efficacy of point-of-care testing in decreasing length of stay in a pediatric emergency department. Pediatr Emerg Care. 2007; 23: 457-62. (Pubitemid 47220650)
45. Singer AJ, Ardise J, Gulla J, Cangro J,. Point-of-care testing reduces length of stay in emergency department chest pain patients. Ann Emerg Med. 2005; 45: 587-91. (Pubitemid 40812890)
46. Apple FH, Chung AY, Kogut ME, Bubany S, Murakami MM,. Decreased patient charges following implementation of point-of-care cardiac troponin monitoring in acute coronary syndrome patients in a community hospital cardiology unit. Clin Chim Acta. 2006; 370: 191-5. (Pubitemid 44080188)