The Role of Fast Tracks on Length of Stay in Emergency Departments

2.50
Hdl Handle:
http://hdl.handle.net/10755/621387
Category:
Full-text
Format:
Text-based Document
Type:
Article
Level of Evidence:
Literature Review
Research Approach:
N/A
Title:
The Role of Fast Tracks on Length of Stay in Emergency Departments
Author(s):
Watson, Brandon; Borkowski, Konrad; Conca-Petit, Jonathan
Lead Author STTI Affiliation:
Chi Theta
Author Details:
Brandon Watson, SN, Chi Theta, brandonwatson@mac.com; Konrad Borkowski, SN, kbork1@stu.mcphs.edu; Jonathan Conca-Petit, SN, jconc1@stu.mcphs.edu
Abstract:

Overcrowding in emergency departments (EDs) is a national crisis affecting hospitals. It has led to an association with poor patient outcomes and is a threat to public safety. Fast tracks (FTs) in the ED are one strategy that has been implemented to alleviate overcrowding while still ensuring quality of care. To evaluate if FTs are effective, length of stay (LOS) was investigated relative to the implementation of FTs across a variety of hospitals. Nurses are an integral part of the triage, assessment, and care that are central to the system of FTs. This review provides an in-depth look at the nurse’s role in FTs, the effects on patient outcomes, and decreasing the LOS in EDs. Pubmed was used as the search database. The keywords searched were length of stay or throughput, a synonymous term, and fast track or fast tracking or streamlining, other synonymous terms. A total of 884 studies were found and were further narrowed down to the 20 research articles expressed in this review. In each of the studies identified where a FT was implemented, the LOS was reduced. Based on the reviewed literature, it is suggested that FTs are efficacious and that nurses play a vital role in their function. 

Keywords:
Emergency Department; Emergency Nursing; fast track system; Length of Stay; Overcrowding
CINAHL Headings:
Emergency Service; Emergency Service--Administration; Length of Stay; Crowding--Prevention and Control; Crowding; Emergency Nursing
Repository Posting Date:
18-May-2017
Date of Publication:
18-May-2017
Note:
This work has been approved through a peer-review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typeArticleen
dc.evidence.levelLiterature Reviewen
dc.research.approachN/Aen
dc.titleThe Role of Fast Tracks on Length of Stay in Emergency Departmentsen_US
dc.contributor.authorWatson, Brandonen
dc.contributor.authorBorkowski, Konraden
dc.contributor.authorConca-Petit, Jonathanen
dc.contributor.departmentChi Thetaen
dc.author.detailsBrandon Watson, SN, Chi Theta, brandonwatson@mac.com; Konrad Borkowski, SN, kbork1@stu.mcphs.edu; Jonathan Conca-Petit, SN, jconc1@stu.mcphs.eduen
dc.identifier.urihttp://hdl.handle.net/10755/621387-
dc.description.abstract<p>Overcrowding in emergency departments (EDs) is a national crisis affecting hospitals. It has led to an association with poor patient outcomes and is a threat to public safety. Fast tracks (FTs) in the ED are one strategy that has been implemented to alleviate overcrowding while still ensuring quality of care. To evaluate if FTs are effective, length of stay (LOS) was investigated relative to the implementation of FTs across a variety of hospitals. Nurses are an integral part of the triage, assessment, and care that are central to the system of FTs. This review provides an in-depth look at the nurse’s role in FTs, the effects on patient outcomes, and decreasing the LOS in EDs. Pubmed was used as the search database. The keywords searched were length of stay or throughput, a synonymous term, and fast track or fast tracking or streamlining, other synonymous terms. A total of 884 studies were found and were further narrowed down to the 20 research articles expressed in this review. In each of the studies identified where a FT was implemented, the LOS was reduced. Based on the reviewed literature, it is suggested that FTs are efficacious and that nurses play a vital role in their function. </p>en
dc.subjectEmergency Departmenten
dc.subjectEmergency Nursingen
dc.subjectfast track systemen
dc.subjectLength of Stayen
dc.subjectOvercrowdingen
dc.subject.cinahlEmergency Serviceen
dc.subject.cinahlEmergency Service--Administrationen
dc.subject.cinahlLength of Stayen
dc.subject.cinahlCrowding--Prevention and Controlen
dc.subject.cinahlCrowdingen
dc.subject.cinahlEmergency Nursingen
dc.date.available2017-05-18T18:19:02Z-
dc.date.issued2017-05-18-
dc.date.accessioned2017-05-18T18:19:02Z-
dc.description.noteThis work has been approved through a peer-review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
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