Reducing Length of Stay in the Emergency Department: Analyzing the Factors and Quality Improvement Interventions
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 72,000
- 主要终点
- length of stay for ED admissions.
研究概览
简要总结
Emergency department (ED) crowding has become an international challenge in the recent decades.
Length of stay (LOS) is a useful marker to monitor ED crowding. Searching for the possible causes and reducing barriers may have the greatest impact on EDLOS.
Therefore, the investigators assembled a multidisciplinary team for improvement of the ED process, to undergo assessments of ED patient flow with the spirit of lean-sigma methodologies. The objectives of this study were to evaluate a Lean-sigma-based initiative to lessen EDLOS.
详细描述
Lean aims to smooth out the workflow and to eliminate wastes. In the ED settings, lean principles can display the process of the ED patient flow. Six sigma, a complementary strategy, has the merit to compensate the potential weakness of Lean through a data-driven process. Currently, a combination of Lean and Six sigma methodologies develops to solve the problems of workflow.
It became clear that concurrent multifaceted interventions were needed to reduce EDLOS. Therefore, the investigators assembled a multidisciplinary quality improvement team for improvement of the ED process, to undergo assessments of ED patient flow with the spirit of lean-sigma methodologies. The objectives of this study were to evaluate a Lean-sigma-based initiative to lessen EDLOS.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •the patients were registered in the ED from Jan, 2015 to Dec, 2015.
排除标准
- •the patients were excluded because of left without seeing a physician.
结局指标
主要结局
length of stay for ED admissions.
时间窗: 12 months
Length of stay was defined as the time from patient registration to leaving the ED.
次要结局
- boarding time for ED admissions(12months)
- decision time for ED admissions(12 months)
- the percentage of LOS over 24 hours in all ED patients.(12 months)
研究者
Wan-Ching Lien
Director, Department of Emergency Medicine, NTUH Hsin-Chu branch
National Taiwan University Hospital Hsin-Chu Branch