Article
Emergency Medicine
Dorothy Williams, Lawrence D. Fredendall, Gregory Hair, Jim Kilton, Cassie Mueller, Joshua D. Gray, Christian Graver, Jaeyoung Kim
Summary: This study focuses on the application of nurse standard work in reducing the average length of stay and the rate of patients leaving without being seen in the fast-track area of an emergency department. The results show that nurse standard work efficiently reduces the length of stay and the rate of patients leaving without being seen, allowing more time for direct interaction between nurses and patients.
JOURNAL OF EMERGENCY NURSING
(2022)
Article
Emergency Medicine
Christopher O'Donnell, Ethan Molitch-Hou, Kyle James, Traci Leong, Michael Perry, Daniel Wood, Tahsin Masud, Brittany Thomas, Michael A. Ross, Nicole Franks
Summary: Fast track dialysis significantly reduced ED and hospital LOS, time to hemodialysis, and charges, but led to an increase in 30-day ED returns.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2021)
Article
Management
Siddharth Arora, James W. Taylor, Ho-Yin Mak
Summary: This study focuses on estimating the probability distribution of individual patient waiting times in an emergency department using a machine learning approach. The proposed method provides more accurate probabilistic forecasts compared to existing methods that only focus on point forecasts. This can improve overall patient satisfaction and prevent patient abandonment.
M&SOM-MANUFACTURING & SERVICE OPERATIONS MANAGEMENT
(2023)
Article
Otorhinolaryngology
Katelyn O. O. Stepan, Jennifer M. M. Lavin, Vikas Mehta
Summary: Patient safety and quality improvement are crucial in healthcare, and using data effectively is essential in designing and implementing quality initiatives. This article discusses the fundamentals of measurement design and data analysis in patient safety and quality improvement, as well as strategies for successful development and execution of such initiatives.
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
(2023)
Article
Health Care Sciences & Services
Jakub Furmaga, Samuel A. McDonald
Summary: The study evaluated the impact of Rapid Medical Evaluation (RME) on patient flow in the Emergency Department (ED) and found that implementing RME helped reduce the time patients spend in the ED Treatment Room, improved patient throughput, and decreased Door-to-Provider time during busy periods in the ED.
JOURNAL OF MEDICAL SYSTEMS
(2021)
Article
Emergency Medicine
Lucas B. Chartier, Sameer Masood, Joseph Choi, Barb McGovern, Stephen Casey, Steven Marc Friedman, Danielle Porplycia, Sarah Tosoni, Sam Sabbah
Summary: The field of quality improvement and patient safety in emergency medicine has seen significant development in the past decade. Establishing a robust QIPS infrastructure helps prioritize and organize projects for greater success and impact on patients and the system. By following John Kotter's method described in "Leading Change," a well-defined and accountable departmental QIPS committee can be established and practical examples shared.
CANADIAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Article
Emergency Medicine
Sean Patrick Nordt, John M. Ryan, Daniel Kelly, Abdubadie Kutubi, Renad Saleh, Caitriona Quinn, Tariq Al Kharusi, Eoin J. Tiernan
Summary: This study aims to identify and assess the frequency of presenting complaints, primary diagnosis, triage acuity, and need for admission among palliative care patients in an Irish setting. The findings can help minimize unnecessary emergency department visits and improve patient care and quality of life.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2023)
Article
Health Care Sciences & Services
Ding-Chung Wu, Hong-Ling Lin, Chun-Gu Cheng, Chia-Peng Yu, Chun-An Cheng
Summary: Medical information exchange can reduce the length of stay over 48 hours in medical center EDs and improve early hospitalization rates for urgent patients in regional hospitals. The government should establish medical information exchange to enhance the quality of healthcare in emergency departments.
Article
Clinical Neurology
Guangxiong Yuan, Hong Xia, Jun Xu, Chen Long, Lei Liu, Feng Huang, Jianping Zeng, Lingqing Yuan
Summary: This study implemented a quality improvement program to reduce the delay in intravenous thrombolysis for acute ischemic stroke patients. The program successfully increased the thrombolysis rate and significantly shortened the door-to-needle time and onset-to-needle time. The use of an emergency bypass route showed better results in the new mode. This research demonstrates the effectiveness of a quality improvement program in controlling the delay in thrombolysis.
FRONTIERS IN NEUROLOGY
(2022)
Article
Multidisciplinary Sciences
Nicholas M. Mohr, Anusha Krishnadasan, Karisa K. Harland, Patrick Ten Eyck, William R. Mower, Walter A. Schrading, Juan Carlos C. Montoy, L. Clifford McDonald, Preeta K. Kutty, Elisabeth Hesse, Scott Santibanez, David N. Weissman, Patricia Slev, David A. Talan
Summary: The risk of SARS-CoV-2 infection was similar for unvaccinated U.S. emergency department healthcare personnel compared to nonclinical staff and healthcare personnel engaged in direct patient care. Many identified risk factors were related to community exposures.
Article
Medicine, General & Internal
Alina Abidova, Pedro Alcantara da Silva, Sergio Moreira
Summary: This research aimed to investigate the impact of satisfaction/perceived quality of healthcare drivers on patients' confidence/trust in the emergency department. The study findings suggest that overall satisfaction and doctors' attitude could directly and indirectly influence patients' trust and confidence in the emergency department.
Article
Multidisciplinary Sciences
Hui Jiang, Liang Zong, Fan Li, Jian Gao, Huadong Zhu, Di Shi, Jihai Liu
Summary: This study demonstrates that compared to traditional BLS training, RQI training can improve CPR skills and save time. Novices can achieve excellent performance in CPR core skills through RQI training. Most trainees are satisfied with the RQI program and consider it a viable option for promoting BLS training.
Review
Health Care Sciences & Services
Carolina Navas, Laura Wells, Susan A. Bartels, Melanie Walker
Summary: This article summarizes the experiences of people with mental health concerns seeking care in emergency departments (EDs) in North America from both patient and provider perspectives. The research reveals barriers and facilitators to optimal ED care, including interpersonal factors, environmental factors, and system-level factors.
Article
Medicine, General & Internal
Rohit B. Sangal, Huifeng Su, Hazar Khidir, Vivek Parwani, Beth Liebhardt, Edieal J. Pinker, Lesley Meng, Arjun K. Venkatesh, Andrew Ulrich
Summary: Emergency department (ED) triage models are designed to prioritize patients for treatment. This study aimed to characterize disparities in ED care access, particularly unexplained queue jumps (UQJ), and found that marginalized populations were more likely to experience UQJs. The study highlights the importance of standardizing triage processes to mitigate biases and ensure equitable access to emergency care.
Article
Business
Alessandro Stefanini, Davide Aloini, Peter Gloor, Federica Pochiero
Summary: The study found that patient satisfaction and service perceptions are significantly influenced by the behavior and communication networks of healthcare providers. Patients value physical proximity and continuous monitoring of their health conditions by doctors and providers, as well as desire to actively participate in the communication network. Additionally, patients perceive positively when doctors lead the communication network within teams for more effective conversations.
JOURNAL OF BUSINESS RESEARCH
(2021)