2.50
Hdl Handle:
http://hdl.handle.net/10755/162707
Type:
Presentation
Title:
Decreasing Patient Through-Put Time by Modifying Staffing Patterns
Abstract:
Decreasing Patient Through-Put Time by Modifying Staffing Patterns
Conference Sponsor:Emergency Nurses Association
Conference Year:2008
Author:Metcalf, Suzanne, RN, MSN, CEN
P.I. Institution Name:St. Peters Hospital
Title:Clinical Nurse Specialist
Contact Address:, Albany, NY, 12108-, USA
Co-Authors:Robert Smith, RN; Sally Dreslin, MA, BS, RN, CEN; Lynne Forchielli, RN; John Hopper, RN, BSN; Celeste DesChamps, RN, MS, CNAA-BC; Deborah Powers, RN
Purpose: Research demonstrates that patient satisfaction related to an Emergency Department visit is tied to how quickly patients are seen and treated. We set out to study whether altering staffing patterns (staff re-design) to streamline patient flow would have an impact on through-put time in the ED.

Design: This study utilized a mixed methodology including the use of a pre and post qualitative/ quantitative staff survey. The survey was implemented to identify perceived barriers to through-put time; survey results were then incorporated into the guidelines used for staff re-design.
The goal of the pilot staffing re-design was to create a budget neutral patient care team of two RN?s who function in coordination with the charge nurse to expedite patient flow into and out of the department.

Setting: 43 bed Magnet community hospital with an annual census of over 50,000 Emergency Department visits.

Participants: Participants included all RN's including Charge Nurses and the technical care staff. For consistency, the implemented team included the same nurses for the length of the study; the team was named the "STAR" team to signify Speedy Triage And Rapid discharge; the team would be in operation Monday - Friday, 1000 - 1800. Project was reviewed by the hospital IRB and granted exempt status

Methods: A questionnaire was constructed utilizing concepts from current literature and staff feedback to query nurses regarding perceptions of barriers to through-put in the ED. Baseline data was collected prior to the implementation of the team for key intervals. During the pilot (four weeks) data will be collected again for the same key intervals and then compared.
These are the key intervals involved in the study:
Door to triage;
Door to room;
Door to RN;
Door to MD;
Door to Door.

A limitation of the study is data is collected in 24 hour increments so the effect of the team will be spread over the entire day.

Results: At the end of the pilot, the two sets of data will be compared to see if there was an overall decrease in patient through-put time as well as a decrease in the key intervals of time studied.

Recommendations: Preliminary data shows significant outliers and prolonged time delays related to MD decision and ED disposition. Intervals in direct control of the ED (door to room, etc) seem to be positively impacted by the team.
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.titleDecreasing Patient Through-Put Time by Modifying Staffing Patternsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162707-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Decreasing Patient Through-Put Time by Modifying Staffing Patterns</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">Metcalf, Suzanne, RN, MSN, CEN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">St. Peters Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Nurse Specialist</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">, Albany, NY, 12108-, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">s-metcalf@sbcglobal.net</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Robert Smith, RN; Sally Dreslin, MA, BS, RN, CEN; Lynne Forchielli, RN; John Hopper, RN, BSN; Celeste DesChamps, RN, MS, CNAA-BC; Deborah Powers, RN</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Research demonstrates that patient satisfaction related to an Emergency Department visit is tied to how quickly patients are seen and treated. We set out to study whether altering staffing patterns (staff re-design) to streamline patient flow would have an impact on through-put time in the ED.<br/><br/>Design: This study utilized a mixed methodology including the use of a pre and post qualitative/ quantitative staff survey. The survey was implemented to identify perceived barriers to through-put time; survey results were then incorporated into the guidelines used for staff re-design.<br/>The goal of the pilot staffing re-design was to create a budget neutral patient care team of two RN?s who function in coordination with the charge nurse to expedite patient flow into and out of the department.<br/><br/>Setting: 43 bed Magnet community hospital with an annual census of over 50,000 Emergency Department visits.<br/><br/>Participants: Participants included all RN's including Charge Nurses and the technical care staff. For consistency, the implemented team included the same nurses for the length of the study; the team was named the &quot;STAR&quot; team to signify Speedy Triage And Rapid discharge; the team would be in operation Monday - Friday, 1000 - 1800. Project was reviewed by the hospital IRB and granted exempt status <br/><br/>Methods: A questionnaire was constructed utilizing concepts from current literature and staff feedback to query nurses regarding perceptions of barriers to through-put in the ED. Baseline data was collected prior to the implementation of the team for key intervals. During the pilot (four weeks) data will be collected again for the same key intervals and then compared. <br/>These are the key intervals involved in the study:<br/>Door to triage;<br/>Door to room;<br/>Door to RN;<br/>Door to MD;<br/>Door to Door.<br/><br/>A limitation of the study is data is collected in 24 hour increments so the effect of the team will be spread over the entire day.<br/><br/>Results: At the end of the pilot, the two sets of data will be compared to see if there was an overall decrease in patient through-put time as well as a decrease in the key intervals of time studied.<br/><br/>Recommendations: Preliminary data shows significant outliers and prolonged time delays related to MD decision and ED disposition. Intervals in direct control of the ED (door to room, etc) seem to be positively impacted by the team.</td></tr></table>en_GB
dc.date.available2011-10-27T10:32:46Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:32:46Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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