Journal
JOURNAL OF EMERGENCY NURSING
Volume 44, Issue 5, Pages 472-477Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.jen.2018.03.001
Keywords
Emergency department; Triage; Telehealth; Patient flow; Emergency Department Telehealth Express Care Service
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Problem: Emergency department overcrowding and acuity are significant challenges to patients and staff. Low-acuity patients have extended wait times, and decreased satisfaction can have a negative effect on patient flow. Methods: A multidisciplinary ED team developed and launched the first ED-based Telehealth Express Care Service, where patients who present to the emergency department with minor complaints are offered a virtual visit with a boardcertified emergency physician located remotely. Results: More than 6 months into the program, more than 1,300 patients have been treated. These patients experienced decreased length of stay (2.5 hours to 38 minutes) and increased satisfaction. The program is very well received by staff members who appreciate its efficiency. Discussion: Telehealth has the potential to optimize ED efficiency, increase patient satisfaction, and promote safe, high-quality provision of care.
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