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Logistics and Lessons Learned: ED Redesign 3 Years Later—A Follow-Up to “How to Create a New Emergency Department in 21 Days or Less”

2012; Elsevier BV; Volume: 38; Issue: 2 Linguagem: Inglês

10.1016/j.jen.2011.11.002

1527-2966

Gina Castillo, P. Wilson,

Emergency and Acute Care Studies

The article entitled “How to Create a New Emergency Department in 21 Days or Less” describes a process in which a 35-bed emergency department redesigned its process to drastically reduce turnaround time (TAT) and the number of patients who left without being seen using existing staff and space. 1 Castillo G Shepard J McHale P How to create a new emergency department in 21 days or less. J Emerg Nurs. 2011; 37: 165-166 Abstract Full Text Full Text PDF PubMed Scopus (1) Google Scholar The success of the process required the willingness of the ED staff, the emergency physician group, and the facility administration. The new process has been successful in reducing TAT and the number of patients who left without being seen. It has also increased patient and staff satisfaction and revised the use of limited ED space. Most importantly, 100% of patients presenting to intake are evaluated by a physician, rather than delaying physician evaluation until a stretcher is available (the historical and antiquated triage process). Gina Castillo is Charge Nurse, Emergency Services, Chandler Regional Medical Center, Chandler, AZ. Patty Wilson is Staff Nurse, Emergency Services, Chandler Regional Medical Center, Chandler, AZ.