2.50
Hdl Handle:
http://hdl.handle.net/10755/162451
Type:
Presentation
Title:
Does use of Advanced Tracking Technology Improve ED Throughput?
Abstract:
Does use of Advanced Tracking Technology Improve ED Throughput?
Conference Sponsor:Emergency Nurses Association
Conference Year:2011
Author:Weaver, Beverly, RN, MS
P.I. Institution Name:Northwestern Lake Forest Hospital
Title:Director of Emergency Services
Contact Address:660 N. Westmoreland Road, Lake Forest, IL, 60045, USA
Contact Telephone:847-535-6903
Co-Authors:Candice Krill, RN, MSN, MBA; Denise Majeski, RN, BSN
[ENA Leadership Conference] Evidence-based Practice Presentation: Does Use of Advanced Patient Tracking Technology Improve ED Throughput?

Purpose: Throughput of Emergency Department (ED) patients is an established priority for this organization. High volumes of ED patient admissions during periods of surge and emergency preparedness resulted in decreased throughput. The question formulated for this project was: For ED patients in a community hospital setting, does use of advanced patient tracking technology facilitate throughput during normal operations, surge and disaster?

Design: This is an evidence-based practice (EBP) project developed by the hospital Throughput Committee using structure provided by the Iowa Model of EBP.

Setting: A community hospital with 215 licensed beds in the Midwest with 64,000 ED visits per year from two separate sites.

Participants: All direct-care nurses in the ED and inpatient units at a non-teaching community hospital.

Methods: The intervention that was examined was the effect of the implementation of the Horizon Enterprise Visibility (HEV) system to improve ED throughput during normal operations and surge. Methods to evaluate the effectiveness of HEV to facilitate ED throughput included six months of data collection pre and post-implementation to include ED length of stay derived from the electronic medical record, inpatient bed turn-around time, and the number of ED admission delays in ten pre-determined categories directly observed and classified by two Case Managers assigned to the ED for 72 hours per week.

Results: Comparison of pre and post-implementation metrics revealed a 6.1% reduction in ED length of stay, a 45% reduction in inpatient bed turn-around time, and a 53.6% reduction in the total number of admission delays after implementation of HEV. This data answers the project question showing that use of HEV can facilitate ED throughput in a community hospital during normal operations and surge. No external disasters occurred during the period of measurement, but HEV information was reported to be valuable to facilitate relocation of 35 inpatients during an internal disaster in September, 2009.

Implications: Advanced patient tracking technology can be a valuable tool to accurately communicate information and improve efficiency, with positive effect on patient throughput. Based on analysis of project metrics showing the ability of HEV to improve throughput during normal operations and surge, the Throughput Committee uniquely customized the HEV system to enable Incident Command (IC) and other users to identify disaster victims within the general ED population at both EDs and to track patients in transit from the Freestanding Emergency Center to the hospital. HEV also provides valuable information to facilitate IC decision making to include real-time bed availability, and disaster victim attributes, such as need for isolation. Use of HEV during time of disaster has been incorporated into IC procedures reflected in the hospital Emergency Operations Plan, and a large viewing screen has been installed in the IC Center. The use of HEV during emergency preparedness exercise has been piloted in March, 2010, and a plan has been developed to measure its effectiveness in time of actual external disaster.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDoes use of Advanced Tracking Technology Improve ED Throughput?en_GB
dc.identifier.urihttp://hdl.handle.net/10755/162451-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Does use of Advanced Tracking Technology Improve ED Throughput?</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Weaver, Beverly, RN, MS</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Northwestern Lake Forest Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Director of Emergency Services</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">660 N. Westmoreland Road, Lake Forest, IL, 60045, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">847-535-6903</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">bweaver@lfh.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Candice Krill, RN, MSN, MBA; Denise Majeski, RN, BSN</td></tr><tr><td colspan="2" class="item-abstract">[ENA Leadership Conference] Evidence-based Practice Presentation: Does Use of Advanced Patient Tracking Technology Improve ED Throughput?<br/><br/>Purpose: Throughput of Emergency Department (ED) patients is an established priority for this organization. High volumes of ED patient admissions during periods of surge and emergency preparedness resulted in decreased throughput. The question formulated for this project was: For ED patients in a community hospital setting, does use of advanced patient tracking technology facilitate throughput during normal operations, surge and disaster? <br/><br/>Design: This is an evidence-based practice (EBP) project developed by the hospital Throughput Committee using structure provided by the Iowa Model of EBP. <br/><br/>Setting: A community hospital with 215 licensed beds in the Midwest with 64,000 ED visits per year from two separate sites. <br/><br/>Participants: All direct-care nurses in the ED and inpatient units at a non-teaching community hospital. <br/><br/>Methods: The intervention that was examined was the effect of the implementation of the Horizon Enterprise Visibility (HEV) system to improve ED throughput during normal operations and surge. Methods to evaluate the effectiveness of HEV to facilitate ED throughput included six months of data collection pre and post-implementation to include ED length of stay derived from the electronic medical record, inpatient bed turn-around time, and the number of ED admission delays in ten pre-determined categories directly observed and classified by two Case Managers assigned to the ED for 72 hours per week. <br/><br/>Results: Comparison of pre and post-implementation metrics revealed a 6.1% reduction in ED length of stay, a 45% reduction in inpatient bed turn-around time, and a 53.6% reduction in the total number of admission delays after implementation of HEV. This data answers the project question showing that use of HEV can facilitate ED throughput in a community hospital during normal operations and surge. No external disasters occurred during the period of measurement, but HEV information was reported to be valuable to facilitate relocation of 35 inpatients during an internal disaster in September, 2009. <br/><br/>Implications: Advanced patient tracking technology can be a valuable tool to accurately communicate information and improve efficiency, with positive effect on patient throughput. Based on analysis of project metrics showing the ability of HEV to improve throughput during normal operations and surge, the Throughput Committee uniquely customized the HEV system to enable Incident Command (IC) and other users to identify disaster victims within the general ED population at both EDs and to track patients in transit from the Freestanding Emergency Center to the hospital. HEV also provides valuable information to facilitate IC decision making to include real-time bed availability, and disaster victim attributes, such as need for isolation. Use of HEV during time of disaster has been incorporated into IC procedures reflected in the hospital Emergency Operations Plan, and a large viewing screen has been installed in the IC Center. The use of HEV during emergency preparedness exercise has been piloted in March, 2010, and a plan has been developed to measure its effectiveness in time of actual external disaster. <br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:28:26Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:28:26Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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