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Reducing Length of Stay in the Emergency Department

NCT03185533 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 72000

Last updated 2017-06-14

No results posted yet for this study

Summary

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.

Conditions

  • Length of Stay

Interventions

BEHAVIORAL

Quality improvement (QI) interventions

1\. The ED admissions exhibited prolonged length of stay. 2\. The Interventions for Reducing Medical Decision Time: 1. The ED director created QI education sessions and reported monthly QI outcomes. 2. The ED nurses reported the current number of ED admission patients twice a day to the director. The director summarized the bed requests to the administrative personnel. 3. The nurses reported the in-scene complicated cases to the ED director. The director would give an assistance in managing these cases. 3\. The Interventions for Reducing Boarding Time 1. The ED patients could be admitted before 8 a.m. if the bed was vacant. 2. The ED director initiated an on-line meeting at 8 a.m. and 4 p.m. 3. Monthly QI outcomes were reported in the hospital affairs meeting.

Sponsors & Collaborators

  • National Taiwan University Hospital Hsin-Chu Branch

    lead OTHER

Eligibility

Sex
ALL
Healthy Volunteers
No

Timeline & Regulatory

Start
2015-01-01
Primary Completion
2015-12-31
Completion
2015-12-31

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT03185533 on ClinicalTrials.gov