Bottom line: Opportunities to improve patient flow do exist, and improved patient flow will reduce the rate of incomplete patient encounters.
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ACEP Now: Vol 37 – No 11 – November 2018References
- Wiler JL, Welch S, Pines J, et al. Emergency department performance measures updates: proceedings of the 2014 Emergency Department Benchmarking Alliance consensus summit. Acad Emerg Med. 2015;22(5):542-553.
- Sun BC, Binstadt ES, Pelletier A, et al. Characteristics and temporal trends of “left before being seen” visits in U.S. emergency departments, 1995–2002. J Emerg Med. 2007;32(2):211-215.
- Anderson D, Pimentel L, Golden B, et al. Drivers of emergency department efficiency: a statistical and cluster analysis of volume, staffing, and operations. Am J Emerg Med. 2016;34(2):155-161.
- Augustine JJ. Long ED boarding times drive walkaways, revenue losses. ACEP Now. 2016;35(7):16.
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One Response to “Emergency Department Inefficiency Drives Poor Quality”
December 2, 2018
Rob Beatty, MD FACEPGood article. In the time frame reported, there has been a major push for EMR conversion due to meaningful use requirements. Some of those EMRs impact house-wide processes as a whole, which could cause significant increases in lab/radiology turnaround time, and add additional human steps to workflow that were not in practice previously. Have you considered evaluating these additional data points and seeing how they fit into your analysis?