Improving emergency department flow by introducing a simple time out moment (The TRAFFIC LIGHT study).
Acute Med
; 23(1): 4-10, 2024.
Article
en En
| MEDLINE
| ID: mdl-38619164
ABSTRACT
BACKGROUND AND IMPORTANCE Long waiting times in the emergency department (ED) is an increasing problem in the recent years and is expected to become an even bigger problem in the future Objective:
We aimed to test the hypothesis whether increasing awareness of the time lapse with the treating physician, 2 hours after patient arrival, can reduce long patient turnaround time (TAT).METHOD:
In this prospective single-center cohort study we compared and analyzed patient TAT in the ED before and after implementation of a so called 'traffic light' moment 2 hours after patient arrival. At this 'traffic light' moment a team member contacted the treating physician to increased awareness over the time lapse. Difference in percentage of patients who stayed more than 4 hours in the ED before and after intervention was the primary outcomeResults:
Between October 2nd 2021 and January 2nd,2022 1494 patients were included for primary outcome analysis. A total of 419 patients (n=740, 56.6%) had a TAT of less than 4 hour in the ED before intervention, compared to 497 (n=754, 65.9%) after intervention (p <0.001). Median time spent in de ED before intervention was 340 (IQR 224 - 504) compared to 315 (IQR 203 - 438) after intervention (p<0.001).CONCLUSION:
This simple and low-cost intervention reduces the ED length of stay significantly. Although multiple interventions will be required to ensure less patients spending more than 4-hours in the ED, a 'traffic light' moment can be a simple and an effective tool.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Servicio de Urgencia en Hospital
Límite:
Humans
Idioma:
En
Revista:
Acute Med
Año:
2024
Tipo del documento:
Article
País de afiliación:
Países Bajos