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Startling improvement in ED door-to-doc time

Abstract: After the CEO at Sumner Regional Medical Center (Gallatin, TN) made an unscheduled visit as a patient to the hospital’s emergency department, her observations about logistical inefficiencies led to an overhaul of the ED admission process.  How the hospital cut about 40 steps out of the process required before a patient sees a physician, resulting in a mean door-to-doc time of 18 minutes, is described in this brief article.  ED patient satisfaction scores soared from the 5th percentile before to the 98th percentile after the changes — all in a period of 4 months. 

Why I like this article: 1.) They had great results; 2.) They tell you what the remaining 4 steps are in the ED admission process (before the patient sees the doctor); 3.) It’s about ED operations improvement — always a popular topic!

Source: Slash door-to-doc time, boost patient satisfaction with staff-driven improvement effort.  ED Management;23(6):70-71, June 2011.  [No known electronic source for this article; publisher can be contacted here: http://www.ahcmedia.com/public/pages/Contact-Us.html]

Posted by: AHA Resource Center, (312) 422-2050, rc@aha.org

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