Effect of a Emergency Department Fast Track Service on Quality of Care Indicators

2.50
Hdl Handle:
http://hdl.handle.net/10755/154076
Type:
Presentation
Title:
Effect of a Emergency Department Fast Track Service on Quality of Care Indicators
Abstract:
Effect of a Emergency Department Fast Track Service on Quality of Care Indicators
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Considine, Julie, RN, BN, GDipNurs, MNurs, PhD, FNRCA
P.I. Institution Name:Deakin University / Northern Health
Title:Senior Research Fellow
Co-Authors:Matthew Kropman; Erin Kelly, RN, BN, Grad. Cert. Emerg. Nurs.; Craig Winter, MB, MS, FACEM, GMQ, MBA
[Research Paper or Poster Presentation] Background: Emergency Department (ED) fast-track systems aim to decrease waiting times and ED length of stay, reduce ED overcrowding, and increasing patient and staff satisfaction. Fast track systems are designed to improve ED capacity in times of peak demand and are usually staffed by senior medical and nursing personnel who are able to make timely discharge decisions. Aim: The aim of this study was to examine the effect of ED fast-track on quality of care indicators for patients with distal wrist fractures: waiting time, ED length of stay, and frequency and timing of x-ray and analgesia. Methods: A pair-matched case-control design was used. The study intervention was ED fast-track that was implemented in November 2006. Cases were patients treated via ED fast-track and controls were patients managed via usual ED processes prior to establishment of the fast-track system. Cases were matched to controls according to age, gender, triage category and ED discharge diagnosis. Wrist fracture was the most common ED discharge diagnosis among fast-track patients and results from a subset of 133 case matched pairs with wrist fracture are presented in this paper. Data were collected using the ED Information System and medical record audit. Results: The distribution of Australasian Triage Scale categories was: Category 3 = 1%, Category 4 = 55% and ATS Category 5 = 44%. Cases had a higher incidence of analgesia administration: (63% versus 36%, p = 0.03) however there was no significant between-group difference in median time to analgesia. Median time to x-ray was 136 minutes for cases and 100 minutes for controls (P=0.01) Conclusion: Fast-track decreased ED length of stay for non admitted patients and may improve quality of emergency care for specific patient groups. This study was generously funded by a Northern Health Small Research Grant
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleEffect of a Emergency Department Fast Track Service on Quality of Care Indicatorsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154076-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Effect of a Emergency Department Fast Track Service on Quality of Care Indicators</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Considine, Julie, RN, BN, GDipNurs, MNurs, PhD, FNRCA</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Deakin University / Northern Health</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Senior Research Fellow</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">julie.considine@deakin.edu.au</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Matthew Kropman; Erin Kelly, RN, BN, Grad. Cert. Emerg. Nurs.; Craig Winter, MB, MS, FACEM, GMQ, MBA</td></tr><tr><td colspan="2" class="item-abstract">[Research Paper or Poster Presentation] Background: Emergency Department (ED) fast-track systems aim to decrease waiting times and ED length of stay, reduce ED overcrowding, and increasing patient and staff satisfaction. Fast track systems are designed to improve ED capacity in times of peak demand and are usually staffed by senior medical and nursing personnel who are able to make timely discharge decisions. Aim: The aim of this study was to examine the effect of ED fast-track on quality of care indicators for patients with distal wrist fractures: waiting time, ED length of stay, and frequency and timing of x-ray and analgesia. Methods: A pair-matched case-control design was used. The study intervention was ED fast-track that was implemented in November 2006. Cases were patients treated via ED fast-track and controls were patients managed via usual ED processes prior to establishment of the fast-track system. Cases were matched to controls according to age, gender, triage category and ED discharge diagnosis. Wrist fracture was the most common ED discharge diagnosis among fast-track patients and results from a subset of 133 case matched pairs with wrist fracture are presented in this paper. Data were collected using the ED Information System and medical record audit. Results: The distribution of Australasian Triage Scale categories was: Category 3 = 1%, Category 4 = 55% and ATS Category 5 = 44%. Cases had a higher incidence of analgesia administration: (63% versus 36%, p = 0.03) however there was no significant between-group difference in median time to analgesia. Median time to x-ray was 136 minutes for cases and 100 minutes for controls (P=0.01) Conclusion: Fast-track decreased ED length of stay for non admitted patients and may improve quality of emergency care for specific patient groups. This study was generously funded by a Northern Health Small Research Grant</td></tr></table>en_GB
dc.date.available2011-10-26T12:43:35Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:43:35Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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