- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03185533
Reducing Length of Stay in the Emergency Department
Reducing Length of Stay in the Emergency Department: Analyzing the Factors and Quality Improvement Interventions
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.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Lean aims to smooth out the workflow and to eliminate wastes. In the ED settings, lean principles can display the process of the ED patient flow. Six sigma, a complementary strategy, has the merit to compensate the potential weakness of Lean through a data-driven process. Currently, a combination of Lean and Six sigma methodologies develops to solve the problems of workflow.
It became clear that concurrent multifaceted interventions were needed to reduce EDLOS. Therefore, the investigators assembled a multidisciplinary quality improvement 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.
Study Type
Enrollment (Actual)
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- the patients were registered in the ED from Jan, 2015 to Dec, 2015.
Exclusion Criteria:
- the patients were excluded because of left without seeing a physician.
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
to reduce ED length of stay
to reduce ED length of stay to lessen ED crowding by using Lean-sigma management and quality improvement interventions including reducing boarding time and medical decision time.
|
1. The ED admissions exhibited prolonged length of stay. 2. The Interventions for Reducing Medical Decision Time:
3. The Interventions for Reducing Boarding Time
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
length of stay for ED admissions.
Time Frame: 12 months
|
Length of stay was defined as the time from patient registration to leaving the ED.
|
12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
boarding time for ED admissions
Time Frame: 12months
|
Boarding time was defined as the time from decision for admission to leaving the ED.
|
12months
|
decision time for ED admissions
Time Frame: 12 months
|
Decision time was defined as the time from patient registration to decision for disposition.
|
12 months
|
the percentage of LOS over 24 hours in all ED patients.
Time Frame: 12 months
|
The percentage was defined as patients staying at the ED over 24 hours/total ED visits.
|
12 months
|
Collaborators and Investigators
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 105-061-E
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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