Assessing the impact of streaming in a regional emergency department

Emergency Medicine Australasia : EMA
Leigh D KinsmanSalomon Zalstein

Abstract

To evaluate the impact of a streaming model, previously validated in metropolitan EDs, on selected performance indicators in a regional ED. Multiple linear regression models were applied to monthly time series data from 43 months prior to the intervention and 15 months following the intervention to measure the impact of the streaming model on the following performance indicators: (i) percentage of emergency patients admitted to an inpatient bed within 8 h; (ii) percentage of non-admitted emergency patients with a length of stay of less than 4 h; and (iii) percentage of emergency patients who left without being seen by a doctor or nurse practitioner. Bendigo Health ED in regional Victoria. Prior to the introduction of streaming, there was a downward trend in both the percentage of emergency patients admitted to an inpatient bed within 8 h, and the percentage of non-admitted emergency patients with a length of stay of less than 4 h. After the introduction of streaming, these trends were reversed (P = 0.008 and P = 0.004, respectively). There was no statistically significant change in the trend associated with the percentage of emergency patients who left without being seen (P = 0.904). The implementation of the streaming model ha...Continue Reading

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Citations

Sep 25, 2012·The Australian Journal of Rural Health·Leigh KinsmanJulie Scholes
Apr 5, 2011·International Emergency Nursing·Mary MartinKevin Masman
May 9, 2009·Annals of Emergency Medicine·Melissa L McCarthyDominik Aronsky
Jun 23, 2015·Emergency Medicine Australasia : EMA·Gerry FitzGeraldPaul Scuffham
Oct 15, 2010·Pediatric Emergency Care·Johnathon LeBaronSharon R Smith

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