Maintaining patient throughput on an evolving trauma/emergency surgery service

The Journal of Trauma
Mary Kate FitzPatrickC William Schwab

Abstract

The case-management team (CMT) has been an effective tool to decrease denied days and improve hospital throughput on a trauma service. With the addition of emergency general surgery (EGS) to our practice, we reviewed the ability of the case management team to absorb EGS patients on the inpatient trauma service while maintaining the improvements initially realized. An interdisciplinary CMT was implemented in January 1999. CRNPs were added in August 2003 to address the Accreditation Council for Graduate Medical Education resident work-hour restrictions. "Key communications" for each CMT member are reported three times per week as defined by a hospital-approved policy. Beginning in August 2001, the trauma service was expanded to include EGS patients. Data from the trauma registry, hospital utilization review, and finance office were analyzed before (1998 and 1999) and after (2003 and 2004) the addition of EGS. Tests of proportion were used to evaluate questions of interest. The number of injured patients admitted to the trauma service remained relatively constant during the study periods, ranging from a high of 1,365 in 1999 to a low of 1,116 in 2003. Beginning in 2003, the influx of emergency surgery patients to the service was m...Continue Reading

References

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Apr 13, 2005·The Journal of Trauma·Patrick M ReillyDouglas J Wiebe

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Citations

Dec 17, 2008·The Journal of Trauma·Kimberly A DavisRobert Udelsman
Nov 11, 2009·The Journal of Trauma·Michael F RotondoMatthew J Robertson
Sep 28, 2010·International Emergency Nursing·Christine M DuffieldHelen Stasa
May 30, 2009·Journal of the American College of Surgeons·J David RichardsonKelly McMasters
Oct 27, 2007·Journal of Surgical Education·Frederick Walter Endorf, Gregory J Jurkovich
Nov 17, 2007·American Journal of Surgery·Adella M GarlandJohn P Sherck
Dec 18, 2007·American Journal of Surgery·David J CieslaMarion H Jordan
Nov 2, 2007·Advances in Surgery·Frederick W Endorf, Gregory J Jurkovich
Jul 27, 2012·Journal of Orthopaedic Trauma·Heather A VallierBrendan M Patterson
Jul 1, 2014·The Journal of Trauma and Acute Care Surgery·Michael Shaymus O'MaraStacey Martin
Oct 26, 2018·International Journal of Health Care Quality Assurance·Windi WinastiHubert Berden

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