Document Detail


Lean-driven solutions slash ED wait times, LOS.
MedLine Citation:
PMID:  23214229     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
The ED at The Aroostook Medical Center (TAMC) in Presque Isle, ME, is a level II trauma center. It is the largest in the region, with only 89 beds. It has undergone a transformation in recent months, with average wait times to see a provider going from four to five hours down to less than five minutes, and the left-without-being-seen (LWBS) rate has been slashed from a high of 7% down to less than 1%. The hospital says the improvements are the result of lean-driven, staff-designed solutions, coupled with administrative engagement and oversight. And administrators say more improvements are on the way in 2013 when a hospital-wide workgroup will try to clear away obstacles and inefficiencies from the hospital admissions process. To tackle long wait times among patients with lower triage levels, the ED instituted a fast-track system, manned by mid-level providers and a tech or LPN. Responsibilities for charge nurses have been redesigned so that they have the power to monitor and facilitate patient flow. The ED has initiated more point-of-care testing so that nurses and techs can conduct many routine tests on their own. While the lean model relies on staff-driven solutions, administrators make the difference when it comes to sustaining changes and minimizing employee resistance.
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  ED management : the monthly update on emergency department management     Volume:  24     ISSN:  1044-9167     ISO Abbreviation:  ED Manag     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9425690     Medline TA:  ED Manag     Country:  United States    
Other Details:
Languages:  eng     Pagination:  139-41     Citation Subset:  H    
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