Evaluation of Process Improvement Interventions on Handoff Times between the Emergency Department and Observation Unit.

The Journal of Emergency Medicine
Michael C TasiBrian J Yun

Abstract

Mitigating hospital crowding requires judicious use of inpatient resources, making Emergency Department Observation Units (EDOUs) an increasingly vital destination for patients that are not suitable for discharge. Maximizing the utility of the EDOU hinges on efficient patient transfers and safe provider communication, which may be accomplished with asynchronous handoff and an emphasis on pull-through operations. The purpose of this study was to assess the impact of an electronic, asynchronous handoff replacing verbal handoff on transfer times from the Emergency Department (ED) to the EDOU. A retrospective observational study was performed with patients transferred to the EDOU throughout several process improvement measures focused on asynchronous handoff. Multivariable linear regression analysis was used to determine the effect that these process improvements had on the time from EDOU bed assignment to patient transfer. There were 14,996 EDOU stays during the 20-month period included in the analysis. Time from EDOU bed assignment to patient transfer decreased significantly with all three interventions studied. An auto-page to the clinicians notifying them of a ready bed reduced the mean time to transfer by 10.1 min (p < 0.0001)...Continue Reading

References

Nov 25, 2005·Academic Medicine : Journal of the Association of American Medical Colleges·Darrell J SoletRichard M Frankel
Nov 15, 2008·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Steven L BernsteinUNKNOWN Society for Academic Emergency Medicine, Emergency Department Crowding Task Force
Nov 26, 2008·Annals of Emergency Medicine·John C MoskopKelly J Bookman
Mar 14, 2009·Annals of Emergency Medicine·Leora I HorwitzRaghavendra G Kulkarni
Jun 7, 2011·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Brenda D Braun
Dec 16, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Jesse M PinesMichael J Schull
Jul 7, 2012·The Journal of Emergency Medicine·Benjamin A WhiteDavid F M Brown
Jul 31, 2012·Biomedical Instrumentation & Technology·Maria Cvach
Sep 11, 2012·Journal of the American Medical Informatics Association : JAMIA·Brian Hilligoss, Kai Zheng
Dec 12, 2012·Annals of Emergency Medicine·Benjamin C SunSteven M Asch
Apr 17, 2014·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Jed D GonzaloShoshana J Herzig
Jul 23, 2015·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Christopher J SmithMichael C Wadman
May 17, 2017·The Journal of Emergency Medicine·Leon D SanchezJulius J Yang
Mar 9, 2018·Internal and Emergency Medicine·Jennifer M SingletonBetzalel Reich
Mar 22, 2018·The Western Journal of Emergency Medicine·Christopher J SmithChad E Branecki

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Citations

Sep 13, 2021·Journal of Biomedical Informatics·Maria Stefania Festila, Sune Dueholm Müller

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