Title | Rapid process redesign in a university-based emergency department: decreasing waiting time intervals and improving patient satisfaction. |
Publication Type | Journal Article |
Year of Publication | 2002 |
Authors | Spaite DW, Bartholomeaux F, Guisto J, Lindberg E, Hull B, Eyherabide A, Lanyon S, Criss EA, Valenzuela TD, Conroy C |
Journal | Ann Emerg Med |
Volume | 39 |
Issue | 2 |
Pagination | 168-77 |
Date Published | 2002 Feb |
ISSN Number | 0196-0644 |
Keywords | Academic Medical Centers, Emergency Service, Hospital, Hospital Design and Construction, Humans, Patient Satisfaction, Questionnaires, Time Factors |
Abstract | Academic emergency departments are traditionally associated with inefficiency and long waits. The academic medical model presents unique barriers to system changes. Several non-university-based EDs have undertaken process redesign, with significant decreases in patient waiting time intervals. This is the presentation of a rapid process redesign in a university-based ED to reduce waiting time intervals. We present the application of a process-improvement team approach to evaluate and redesign patient flow. As a result of this effort, the median waiting room time interval (triage to patient room) decreased from 31 minutes in January 1998 to 4 minutes in July 1998. ED throughput times also decreased, from 4 hours, 21 minutes in January 1998 to 2 hours, 55 minutes in July 1998. Urgent care waiting room time intervals decreased from 52 minutes to 7 minutes and throughput times from 2 hours, 9 minutes to 1 hour, 10 minutes. Patient satisfaction evaluations by an independent institute demonstrated dramatic improvement and establishment of a new benchmark for academic EDs. Process redesign is possible in a busy, complex, tertiary-care ED, with decreases in waiting time intervals and improvement in patient satisfaction. Major sustained support from top-level hospital administrators and physician leadership are fundamental prerequisites. With these in place, a process improvement team approach for evaluating and redesigning the patient care system can be successful. |
Alternate Journal | Ann Emerg Med |
PubMed ID | 11823772 |
Rapid process redesign in a university-based emergency department: decreasing waiting time intervals and improving patient satisfaction.
Faculty Reference:
Daniel W. Spaite, MD
Terence Valenzuela, MD, MPH