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Ed Throughput

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Submitted By joyescue
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Improving Emergency Department Throughput Time
HCS/587
October 1, 2012
Improving Emergency Department Throughput Time
Hospitals are experiencing patient congested emergency departments. At Baptist Memorial Hospital, the increase in patient volume and limited capacity contributes to long length of stays and patients leaving without being seen. As a result of overcrowded emergency rooms, patient length of stay becomes more important. Throughput times in the emergency department (ED) play a substantial role in patient and staff satisfaction. Length of stay in the ED is directly related to patient volume, patient acuity, lab turnaround times, and time to treatment, which is all connected to patient satisfaction. Long wait time contributes to patients leaving prior to a medical screening examination. Patients who leave without been screened is dangerous and sometimes deadly, thereby creating a liability for the hospital. Baptist Memorial Hospital has outgrown its current capacity creating overcrowding and delays.
Hospital capacity is an organizational barrier faced by Baptist Memorial Hospital. Patient presentations over the past several years have increased substantially as well as an increase in hospital diversion and a decrease in overall patient satisfaction. The current ED operates out of 11 beds with one around the clock physician and a mid-level provider during peak times. Nurse to patient ratios are 4:1 with a dedicated charge nurse. The department also has a dedicated triage nurse, and one secretary during peak hours. The ED does not have a patient care technician or a dedicated housekeeper. So, bed turnover, equipment cleaning, and patient transport are nursing responsibilities. Over the past three years, patient monthly volumes have increased from an average of 1300 to 2200 patients. The hospital is licensed for 100 inpatient beds and

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