2.50
Hdl Handle:
http://hdl.handle.net/10755/162500
Type:
Presentation
Title:
Improving Door to Doc Times in a Pediatric Emergency Department
Abstract:
Improving Door to Doc Times in a Pediatric Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:2009
Author:Miller, Jennifer, RN, MS, CPNP
P.I. Institution Name:Rochester General Hospital
Title:Nurse Manager
Contact Address:1425 Portland Ave, Rochester, NY, 14580
Contact Telephone:585-259-1374
[Leadership Conference Poster Presentation] Purpose: Wait times to see a provider in the emergency department is a major source of dissatisfaction. The patient defines wait time as time from arrival to being seen by a provider, regardless of nursing interventions/visits. This study explored effective strategies to decrease average Door to Doc time to less than 30 minutes.

Design: A quality improvement project utilizing staff education and operational changes.

Setting: This study was conducted in a 12-bed pediatric emergency department in a community hospital with ~21,000 visits per year.

Participants/Subjects: All patients treated in the Pediatric Emergency department from February 2008 to May 2008 were included.

Methods: Door to Doc times were reviewed on a monthly basis. Consistent extended wait times were found in 2 consecutive months, prompting the implementation of wait reducing strategies to reach a goal of 30 minutes. Staff were educated through posters, staff meetings, and individual discussions on the definition of Door to Doc, what it means to the patient and how the data is recorded. Staff included Nurses, Patient Care Techs, Residents, Housekeeping, and Physicians. Changes were made to the layout of the department. The greeter's desk was moved closer to the entrance and a patient room was converted to a triage room, providing for a more direct path for the patient from arrival to room placement.

Results: The average Door to Doc time was reduced from 43 minutes to 31 minutes (28%).

Recommendations: Reductions in Door to Doc times were accomplished at minimal cost with substantial results. Managers should realize the value of minimal Door to Doc times and the impact it has on patient satisfaction. Door to Doc should be a parameter that is frequently monitored. Future interventions to continue to reduce Door to Doc times include publishing nurse and provider specific data.
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.titleImproving Door to Doc Times in a Pediatric Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162500-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Improving Door to Doc Times in a Pediatric Emergency Department</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">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Miller, Jennifer, RN, MS, CPNP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Rochester General Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nurse Manager</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1425 Portland Ave, Rochester, NY, 14580</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">585-259-1374</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">rnjen55@aol.com</td></tr><tr><td colspan="2" class="item-abstract">[Leadership Conference Poster Presentation] Purpose: Wait times to see a provider in the emergency department is a major source of dissatisfaction. The patient defines wait time as time from arrival to being seen by a provider, regardless of nursing interventions/visits. This study explored effective strategies to decrease average Door to Doc time to less than 30 minutes.<br/><br/>Design: A quality improvement project utilizing staff education and operational changes.<br/><br/>Setting: This study was conducted in a 12-bed pediatric emergency department in a community hospital with ~21,000 visits per year. <br/><br/>Participants/Subjects: All patients treated in the Pediatric Emergency department from February 2008 to May 2008 were included.<br/><br/>Methods: Door to Doc times were reviewed on a monthly basis. Consistent extended wait times were found in 2 consecutive months, prompting the implementation of wait reducing strategies to reach a goal of 30 minutes. Staff were educated through posters, staff meetings, and individual discussions on the definition of Door to Doc, what it means to the patient and how the data is recorded. Staff included Nurses, Patient Care Techs, Residents, Housekeeping, and Physicians. Changes were made to the layout of the department. The greeter's desk was moved closer to the entrance and a patient room was converted to a triage room, providing for a more direct path for the patient from arrival to room placement.<br/><br/>Results: The average Door to Doc time was reduced from 43 minutes to 31 minutes (28%).<br/><br/>Recommendations: Reductions in Door to Doc times were accomplished at minimal cost with substantial results. Managers should realize the value of minimal Door to Doc times and the impact it has on patient satisfaction. Door to Doc should be a parameter that is frequently monitored. Future interventions to continue to reduce Door to Doc times include publishing nurse and provider specific data.</td></tr></table>en_GB
dc.date.available2011-10-27T10:29:15Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:29:15Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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