2.50
Hdl Handle:
http://hdl.handle.net/10755/162705
Type:
Presentation
Title:
Decrease the Wait
Abstract:
Decrease the Wait
Conference Sponsor:Emergency Nurses Association
Conference Year:2008
Author:McClain, Brandi, RN, MSN
P.I. Institution Name:Vanderbilt Children's Hospital Emergency Department
Title:Clinical Nurse Educator
Contact Address:2200 Children's Way, Suite 1017, Nashville, TN, 37232-, USA
Co-Authors:Barbara Schultz, RN, BSN
Purpose: Mid 2006, patient length of stay in the Pediatric Emergency Department was found to be above industry benchmarking performance levels. This prompted members of the Leadership Team to begin analyzing the multiple variables impacting patient flow, with the objective of improving patient throughput time and patient satisfaction without lowering the quality of care delivered.

Design: This project consists of staff development and process improvement initiatives, designed to identify, educate and improve critical factors impacting patient throughput.

Setting: The project setting is a Pediatric Emergency Department of an urban, academic Children?s Hospital, with > 40,000 annual visits,

Project Participants: Hospital Administration, ED Medical and Nursing Leadership, Clinical and Registration Staff.

Methods: The five key initiatives implemented are:
1) Waiting Room Nurse - Implemented as the first contact patients encounter upon entrance to the emergency department. The goal is to ensure that all patients are greeted and quickly assessed by a licensed healthcare provider. It also affords patients and families in the waiting room, a sense that there is an accessible licensed provider should there be a change in a patient's condition.
2) Rapid Registration Form - a documentation tool utilized by the Waiting Room Nurse to rapidly document patient assessments.
3) Pull Through-Triage - the placement of patients in treatment rooms upon presentation to the emergency department, bypassing the triage area, and ultimately decreasing door to provider times.
4) Standing Protocols - 13 protocols approved by the Medical Director, designed to standardize and expedite treatment, decreasing provider to decision times.
5) Measurements - Patient length of stay, door to provider, provider to decision and decision to disposition times are monitored daily through the electronic whiteboard. Patient satisfaction is assessed by a discharge callback system, utilizing a standardized questionnaire.
Results:
Before Process Improvements:
(June 2006)/After Process Improvements:
(June 2007);
Patient Length of Stay 219.36 minutes/178.12 minutes;
Door to Provider 120.54 minutes/ 84.69 minutes;
Provider to Decision 72.92 minutes/ 61.65 minutes;
Decision to Disposition 41.61 minutes/ 31.78 minutes;
Patient Satisfaction 91.3/90.3.

Recommendations: From a leadership perspective, patient safety, patient satisfaction and quality are key components of healthcare. These initiatives decrease patient length of stay while maintaining patient satisfaction and quality healthcare. This Department joined the Child Health Corporation of America (CHCA), and strongly recommends other Pediatric ED Leadership members do the same. The CHCA provides insight into successful strategies already being utilized by other emergency departments to decrease ED wait times.
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.titleDecrease the Waiten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162705-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Decrease the Wait</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">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">McClain, Brandi, RN, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Vanderbilt Children's Hospital Emergency Department</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse Educator</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">2200 Children's Way, Suite 1017, Nashville, TN, 37232-, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">brandi.l.mcclain@Vanderbilt.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Barbara Schultz, RN, BSN</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Mid 2006, patient length of stay in the Pediatric Emergency Department was found to be above industry benchmarking performance levels. This prompted members of the Leadership Team to begin analyzing the multiple variables impacting patient flow, with the objective of improving patient throughput time and patient satisfaction without lowering the quality of care delivered.<br/><br/>Design: This project consists of staff development and process improvement initiatives, designed to identify, educate and improve critical factors impacting patient throughput. <br/><br/>Setting: The project setting is a Pediatric Emergency Department of an urban, academic Children?s Hospital, with &gt; 40,000 annual visits,<br/><br/>Project Participants: Hospital Administration, ED Medical and Nursing Leadership, Clinical and Registration Staff.<br/><br/>Methods: The five key initiatives implemented are:<br/>1) Waiting Room Nurse - Implemented as the first contact patients encounter upon entrance to the emergency department. The goal is to ensure that all patients are greeted and quickly assessed by a licensed healthcare provider. It also affords patients and families in the waiting room, a sense that there is an accessible licensed provider should there be a change in a patient's condition. <br/>2) Rapid Registration Form - a documentation tool utilized by the Waiting Room Nurse to rapidly document patient assessments. <br/>3) Pull Through-Triage - the placement of patients in treatment rooms upon presentation to the emergency department, bypassing the triage area, and ultimately decreasing door to provider times. <br/>4) Standing Protocols - 13 protocols approved by the Medical Director, designed to standardize and expedite treatment, decreasing provider to decision times.<br/>5) Measurements - Patient length of stay, door to provider, provider to decision and decision to disposition times are monitored daily through the electronic whiteboard. Patient satisfaction is assessed by a discharge callback system, utilizing a standardized questionnaire. <br/>Results: <br/> Before Process Improvements:<br/>(June 2006)/After Process Improvements:<br/>(June 2007);<br/>Patient Length of Stay 219.36 minutes/178.12 minutes;<br/>Door to Provider 120.54 minutes/ 84.69 minutes;<br/>Provider to Decision 72.92 minutes/ 61.65 minutes;<br/>Decision to Disposition 41.61 minutes/ 31.78 minutes;<br/>Patient Satisfaction 91.3/90.3.<br/><br/>Recommendations: From a leadership perspective, patient safety, patient satisfaction and quality are key components of healthcare. These initiatives decrease patient length of stay while maintaining patient satisfaction and quality healthcare. This Department joined the Child Health Corporation of America (CHCA), and strongly recommends other Pediatric ED Leadership members do the same. The CHCA provides insight into successful strategies already being utilized by other emergency departments to decrease ED wait times.</td></tr></table>en_GB
dc.date.available2011-10-27T10:32:44Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:32:44Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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