Saturday, May 30, 2009

How Do You Cut Wait Times In the ER?

How do you cut wait times in the ER and increase volume?

One health care consulting firm found by playing  the Lone Ranger theme hospital wide as a signal to initiate and expedite the hospital discharge process,  ER patient volume increased by over 15%.  How about that for innovation?  I suspect hospitalists were involved somewhere along the way.
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3 Outbursts:

  1. "bed cruch" codes work when the problem is dirty but empty beds. When the hospital is full, paging the hospitalists every 15 minutes to "DC all appropriate pts now" is a waste of time. How about providing real services on weekends and not admitting "social admits" so help clear up beds?

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  2. As an overworked RN (working on an understaffed unit), this would push me over the edge. Just hearing the music would most likely cause me to go postal.

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  3. I've never understood this exercise in pandemonium. Admit, treat and discharge is a pretty simple concept. We have patients that I feel we should call in an interior decorator to brighten up their new home they've been with us so long. Then comes the panic mode and we're discharging these "tenants". They hang around when census is low and and get the boot when beds are needed. Maybe "timely discharge" should be an everyday thing

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