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.
研究概览
详细说明
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.
研究类型
注册 (实际的)
参与标准
资格标准
适合学习的年龄
- 孩子
- 成人
- 年长者
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
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.
学习计划
研究是如何设计的？
设计细节
队列和干预
团体/队列 |
干预/治疗 |
|---|---|
|
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
|
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
length of stay for ED admissions.
大体时间：12 months
|
Length of stay was defined as the time from patient registration to leaving the ED.
|
12 months
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
boarding time for ED admissions
大体时间：12months
|
Boarding time was defined as the time from decision for admission to leaving the ED.
|
12months
|
|
decision time for ED admissions
大体时间：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.
大体时间：12 months
|
The percentage was defined as patients staying at the ED over 24 hours/total ED visits.
|
12 months
|
合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.
停留时间的临床试验
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Swansea University完全的
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Scripps Translational Science Institute完全的
-
Peking Union Medical College Hospital尚未招聘