SurgeCon: Priming a Community Emergency Department for Patient Flow Management.

ABSTRACT:

Introduction

Canadian emergency departments (ED) are struggling to provide timely emergency care. Very few studies have assessed attempts to improve ED patient flow in the rural context. We assessed the impact of SurgeCon, an ED patient-management protocol, on total patient visits, patients who left without being seen (LWBS), length of stay for departed patients (LOSDep), and physician initial assessment time (PIA) in a rural community hospital ED.

Methods

We implemented a set of commonly used methods for increasing ED efficiency with an innovative approach over 45 months. Our intervention involved seven parts comprised of an external review, Lean training, fast track implementation, patient-centeredness approach, door-to-doctor approach, performance reporting, and an action

SUBMITTER: Patey C 

PROVIDER: S-EPMC6625694 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature