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Titre : | Impact of a Planned Workflow Change : Super Track Improves Quality and Service for Low-Acuity Patients at an Inner-City Hospital (2017) |
Auteurs : | Nancy Mannion Bonalumi ; A Bhattacharya ; Christopher Edwards ; et al. |
Type de document : | Article |
Dans : | Journal of Emergency Nursing (Vol. 43, n°2, March 2017) |
Article en page(s) : | p. 114-125 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Bien-être ; Hôpitaux ; Patients ; Programme |
Mots-clés: | Service hospitalier d'urgence |
Résumé : |
Problem
ED volume and acuity were anticipated to increase at an inner-city hospital. A strategy to mitigate the impact was needed. Methods A multidisciplinary team facilitated a workflow modification project implementing a Super Track to treat low-acuity patients. A literature review led to the creation of an evidence-based framework. Staff education regarding the change process and the results of an analysis in the strengths, weaknesses, opportunities, and threat format, along with simulation exercises and a pilot project, supported implementation of this strategy. Results Simulation exercises demonstrated that the proposed workflow with a Super Track had the potential to reduce the length of stay among level 4 and 5 patients coming to the emergency department. Implementing a Super Track reduced the patient arrival-to-provider time for low-acuity patients, but length of stay was not affected. After implementation, the number of patients who left without being seen decreased by 40%, and patient satisfaction increased by 36%. Implications for practice A modified front-end workflow process produced a statistically significant, sustainable improvement in patient flow of low-acuity patients in our emergency department. Use of an evidence-based, multidisciplinary team approach supported the change process. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
---|---|---|---|---|
REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |