Key Players in Key Roles: The Baystate Patient Progress Initiative to Improve Emergency Department Efficiency and Productivity

Rathlev, Niels K.; Anderson, Jacqualyn; Schmidt, Joseph; Hettler, Joeli; Garreffi, Lynn; Gray, Molly; Neal, Douglas; Visintainer, Paul; Team, Baystate Patient Progress Initiative

doi:10.1016/j.jen.2017.10.015

Cited by 1 publication

(3 citation statements)

References 14 publications

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“…Ninety per cent of the studies showed an improvement of LWBS rate. The value is correlated with patient care 29 and medical attention [Ding et al 34 ; Baker 35 ].…”

Section: Resultsmentioning

confidence: 99%

“…More exactly, it is the as the percentage of admitted Open access patients that had spent less than 4 hour in the ED or that were treated and discharged (to home or to ward) within 4 hours. [27][28][29][30][31] In Sweden, Muntlin et al announced that visiting times in the ED had to be shortened, for quality and safety reasons and reported that the performance target had to be met for 80% and 100%, by the end of the first 6 month and 1-year period, respectively. 30 The other two papers included in this review reported the percentage of presenting patients that left the ED within 4 hour as National Emergency Access Target (NEAT).…”

Section: Time Intervalsmentioning

confidence: 99%

“…Duration of studies ranged from 16 days 32 to 3 years. 29 The studies evaluated: introduction of a team of doctors with specific training in emergency medicine working full time in the ED, 33 the addition of a physician assistant acting as a triage liason providers, 32 the addition of a physician-nurse supplementary triage assistance team, 11 the redesigned of the ED operational nursing leadership, 29 the impact of a multifaceted ED work flow redesign, 23 the application of Lean principles of the Toyota production system 13 and three reliability tools and strategies, 24 the impact of nine flow designed models obtained by the combination of three ED flow models a three ED physical design typologies. 12 Ninety per cent of the studies showed an improvement of LWBS rate.…”

Section: Left Without Being Seenmentioning

confidence: 99%

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Efficiency measures of emergency departments: an Italian systematic literature review

et al. 2021

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Life expectancy globally increased in the last decades: the number of people aged 65 or older is consequently projected to grow, and healthcare demand will increase as well. In the recent years, the number of patients visiting the hospital emergency departments (EDs) rocked in almost all countries of the world. These departments are crucial in all healthcare systems and play a critical role in providing an efficient assistance to all patients. A systematic literature review covering PubMed, Scopus and the Cochrane Library was performed from 2009 to 2019. Of the 718 references found in the literature research, more than 25 studies were included in the current review. Different predictors were associated with the quality of EDs care, which may help to define and implement preventive strategies in the near future. There is no harmonisation in efficiency measurements reflecting the performance in the ED setting. The identification of consistent measures of efficiency is crucial to build an evidence base for future initiatives. The aim of this study is to review the literature on the problems encountered in the efficiency of EDs around the world in order to identify an organisational model or guidelines that can be implemented in EDs to fill inefficiencies and ensure access optimal treatment both in terms of resources and timing. This review will support policy makers to improve the quality of health facilities, and, consequently of the entire healthcare systems.

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“…Ninety per cent of the studies showed an improvement of LWBS rate. The value is correlated with patient care 29 and medical attention [Ding et al 34 ; Baker 35 ].…”

Section: Resultsmentioning

confidence: 99%