Improving Emergency Department flow through optimized bed utilization

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Improving Emergency Department flow through optimized bed utilization

Over the last decade, patient volumes in the emergency department (ED) have grown disproportionately compared to the increase in staffing and resources at the Toronto Western Hospital, an academic tertiary care centre in Toronto, Canada. The resultant congestion has spilled over to the ED waiting room, where medically undifferentiated and potentially unstable patients must wait until a bed beco...

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Improving emergency department patient flow

Emergency departments (ED) face significant challenges in delivering high quality and timely patient care on an ever-present background of increasing patient numbers and limited hospital resources. A mismatch between patient demand and the ED's capacity to deliver care often leads to poor patient flow and departmental crowding. These are associated with reduction in the quality of the care deli...

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Improving emergency department flow through Rapid Medical Evaluation unit

The Toronto Western Hospital is an academic hospital in Toronto, Canada, with an annual Emergency Department (ED) volume of 64,000 patients. Despite increases in patient volumes of almost six percent per annum over the last decade, there have been no commensurate increases in resources, infrastructure, and staffing. This has led to substantial increase in patient wait times, most specifically f...

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Emergency department flow in an optimized setting

Background The patterns of patient admission and discharge rarely reflects patient needs. The main reason is the way we manage processes such as ward rounds, operations, radiology, outpatient handling, inpatient tests etc. This results in variable length of stay (LoS) in the emergency departments, even among patients admitted with similar conditions. We have implemented structured time-driven p...

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ژورنال

عنوان ژورنال: BMJ Quality Improvement Reports

سال: 2016

ISSN: 2050-1315

DOI: 10.1136/bmjquality.u206156.w2532