Improving Emergency Department Door to Doctor Time and Process Reliability

Autor:	El Sayed, Mazen J., El-Eid, Ghada R., Saliba, Miriam, Jabbour, Rima, Hitti, Eveline A.
Jazyk:	angličtina
Rok vydání:	2015
Předmět:	Adult Male Quality Improvement Study Humans Reproducibility of Results Female Emergency Service Hospital Quality Improvement Research Article Time-to-Treatment
Zdroj:	Medicine
ISSN:	1536-5964 0025-7974
Popis:	The aim of this study is to determine the effectiveness of using lean management methods on improving emergency department door to doctor times at a tertiary care hospital. We performed a before and after study at an academic urban emergency department with 49,000 annual visits after implementing a series of lean driven interventions over a 20 month period. The primary outcome was mean door to doctor time and the secondary outcome was length of stay of both admitted and discharged patients. A convenience sample from the preintervention phase (February 2012) was compared to another from the postintervention phase (mid-October to mid-November 2013). Individual control charts were used to assess process stability. Postintervention there was a statistically significant decrease in the mean door to doctor time measure (40.0 minutes ± 53.44 vs 25.3 minutes ± 15.93 P
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid________::44f5057288d11461ffdaf2016d859300 http://europepmc.org/articles/PMC4620816 Zobrazit plný text záznamu