Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
72000 participants
OBSERVATIONAL
2015-01-01
2015-12-31
Brief Summary
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Length of stay (LOS) is a useful marker to monitor ED crowding. Searching for the possible causes and reducing barriers may have the greatest impact on EDLOS.
Therefore, the investigators assembled a multidisciplinary team for improvement of the ED process, to undergo assessments of ED patient flow with the spirit of lean-sigma methodologies. The objectives of this study were to evaluate a Lean-sigma-based initiative to lessen EDLOS.
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Detailed Description
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It became clear that concurrent multifaceted interventions were needed to reduce EDLOS. Therefore, the investigators assembled a multidisciplinary quality improvement team for improvement of the ED process, to undergo assessments of ED patient flow with the spirit of lean-sigma methodologies. The objectives of this study were to evaluate a Lean-sigma-based initiative to lessen EDLOS.
Conditions
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Study Design
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CASE_ONLY
PROSPECTIVE
Study Groups
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to reduce ED length of stay
to reduce ED length of stay to lessen ED crowding by using Lean-sigma management and quality improvement interventions including reducing boarding time and medical decision time.
Quality improvement (QI) interventions
1\. The ED admissions exhibited prolonged length of stay.
2\. The Interventions for Reducing Medical Decision Time:
1. The ED director created QI education sessions and reported monthly QI outcomes.
2. The ED nurses reported the current number of ED admission patients twice a day to the director. The director summarized the bed requests to the administrative personnel.
3. The nurses reported the in-scene complicated cases to the ED director. The director would give an assistance in managing these cases.
3\. The Interventions for Reducing Boarding Time
1. The ED patients could be admitted before 8 a.m. if the bed was vacant.
2. The ED director initiated an on-line meeting at 8 a.m. and 4 p.m.
3. Monthly QI outcomes were reported in the hospital affairs meeting.
Interventions
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Quality improvement (QI) interventions
1\. The ED admissions exhibited prolonged length of stay.
2\. The Interventions for Reducing Medical Decision Time:
1. The ED director created QI education sessions and reported monthly QI outcomes.
2. The ED nurses reported the current number of ED admission patients twice a day to the director. The director summarized the bed requests to the administrative personnel.
3. The nurses reported the in-scene complicated cases to the ED director. The director would give an assistance in managing these cases.
3\. The Interventions for Reducing Boarding Time
1. The ED patients could be admitted before 8 a.m. if the bed was vacant.
2. The ED director initiated an on-line meeting at 8 a.m. and 4 p.m.
3. Monthly QI outcomes were reported in the hospital affairs meeting.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
ALL
No
Sponsors
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National Taiwan University Hospital Hsin-Chu Branch
OTHER
Responsible Party
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Wan-Ching Lien
Director, Department of Emergency Medicine, NTUH Hsin-Chu branch
Other Identifiers
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105-061-E
Identifier Type: -
Identifier Source: org_study_id
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