Ways to reduce patient turnaround time and improve service quality in emergency departments

Sinreich, David; Marmor, Yariv N.

doi:10.1108/14777260510600022

Cited by 29 publications

(29 citation statements)

References 16 publications

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“…This conclusion does support previous findings that staffs' perceptions do depend on their role and interaction with their patients, with nurses having more interaction with patients during this time period [12] . This study found, as did Sinreich, et al, that the nurses versus doctors and patients were correct in stating the real reasons for delay [9] . This however was only for a specific time period with what were more complicated cases.…”

Section: Discussionsupporting

confidence: 58%

“…The secondary explanation is due to internal factors such as delays in radiology, laboratory and availability of beds [4][5][6][7][8] . Sinreich, et al, in a comprehensive study of major hospitals, found the chief culprit of long wait times was delayed access to auxiliary services [9] . They found that 51 to 63 percent of the total patient turnaround time was due to time waiting for x-ray examinations, the first physician's examination and waiting time for blood.…”

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confidence: 99%

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Patients’, nurses’ and physicians’ perception of delays in emergency department care

Downey

Zun²,

Burke³

2013

JHA

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Background: Patients often judge their experiences in the emergency department (ED) based upon how long they have to wait, the attitudes of staff, and the information provided them.Objective: The objective of this study was to assess the causes in constraints to patient flow in emergency departments by comparing staff, patient, and DSS data findings. Methods:A random sample of patients and their healthcare providers were administered a survey asking them to rank the reasons for delay during three points after triage (60, 120, 180 minutes). A comparison was then done using Spearman's rank correlations and a regression model with independent indicators collected from the hospitals Decision Support System (DSS) which included: time to be seen by doctors, time to laboratory test results, time for radiological results, wait time for hospital bed and discharge in order to compare if the perceptions of constraints are related to the actual reasons for delays in the ED. This study was approved by the Internal Review Board.Results: There was a significant correlation in the ranking of the reason for delays within the first, second and third hours between patients, nurses and doctors. However, when comparing perceptions for delay and independent data, only nurses within the third hour were correct in their understanding of the constraints that lead to delays. Conclusions:Overall, patients and staff view similar reasons for constraints to their timely flow through the ED. There is, however, very little correlation between the survey responses and the independent factors that did constrain the flow of the ED. A more extensive use and integration of the DSS system by staff could provide more reliable information for reasons for delay that could be communicated to the ED patients which could improve customer service.

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Section: Discussionsupporting

confidence: 58%

mentioning

confidence: 99%

Patients’, nurses’ and physicians’ perception of delays in emergency department care

Downey

Zun²,

Burke³

2013

JHA

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“…Certain studies suggest that the TAT of laboratory tests directly influences the duration of stay of patients in the Emergency Department (ED) [5], as a reduction of laboratory TAT reduces ED stay [6], and hence enhances the safety and satisfaction of patients [7]. Decreasing the TAT of laboratory tests, help in reducing overcrowding in the ED [8].…”

Section: Introductionmentioning

confidence: 99%

Monitoring and Root Cause Analysis of Clinical Biochemistry Turn Around Time at an Academic Hospital

et al. 2013

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Quality can be defined as the ability of a product or service to satisfy the needs and expectations of the customer. Laboratories are more focusing on technical and analytical quality for reliability and accuracy of test results. Patients and clinicians however are interested in rapid, reliable and efficient service from laboratory. Turn around time (TAT), the timeliness with which laboratory personnel deliver test results, is one of the most noticeable signs of laboratory service and is often used as a key performance indicator of laboratory performance. This study is aims to provide clue for laboratory TAT monitoring and root cause analysis. In a 2 year period a total of 75,499 specimens of outdoor patient department were monitor, of this a total of 4,142 specimens exceeded TAT. With consistent efforts to monitor, root cause analysis and corrective measures, we are able to decreased the specimens exceeding TAT from 7-8 to 3.7 %. Though it is difficult task to monitor TAT with the help of laboratory information system, real time documentation and authentic data retrievable, along with identification of causes for delays and its remedial measures, improve laboratory TAT and thus patient satisfaction.

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“…In a similar way in [21] the resizing of different resources is compared in order to identify which is the one that mainly influences ED performances. Patients arrival pattern can be also simulated in order to level the peak of resource utilization, leading to a significantly better planning of staff and resources [29]. Similarly, in [30] arrival analysis allows a reduction of patient turnaround times.…”

Section: Literature Reviewmentioning

confidence: 99%

Emergency Department Management in Lazio, Italy

Leo

Lodi

Tubertini

et al. 2016

Omega

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Ways to reduce patient turnaround time and improve service quality in emergency departments

Abstract: The study covers several hospitals and analyses over 20,000 process components; as such the common findings may serve as guidelines to other hospitals when addressing this issue.

Cited by 29 publications

References 16 publications

Patients’, nurses’ and physicians’ perception of delays in emergency department care

Patients’, nurses’ and physicians’ perception of delays in emergency department care

Monitoring and Root Cause Analysis of Clinical Biochemistry Turn Around Time at an Academic Hospital

Emergency Department Management in Lazio, Italy

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