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Door to Doc Improvement: Enhanced ED Workflow Efficiency

Implementation of ED KaT system effectively shortened door-to-doctor time, combining triage with quick registration. The study shows sustained improvements over 2 months.

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Door to Doc Improvement: Enhanced ED Workflow Efficiency

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  1. ILH EDDoor to Doc

  2. Two Phase Improvement • Combine Triage and Quick Reg March 16, 2009 • Implement ED KaT July 16, 2010

  3. Before After

  4. Serial to parallel

  5. SMS Oct. intervals compared 117 112 73 Triage reg combined minutes medians significant

  6. SMS Nov. intervals compared(shows sustained for 2 months) NEW DATA Not yet submitted. 96 90 70 minutes Triage reg combined ED KaT significant

  7. SMS to ED KaT Oct. comparison(arrival > triage > reg > physician) minutes

  8. SMS to ED KaTOct. comparison(arrival > reg > triage > physician) minutes medians 1440/5054

  9. New Phenomena • Serial changed to parallel process (Quick reg. with triage) 0 minutes? Really? • Bedside registration

  10. Results • Combining registration and triage shortened some time intervals, but had no significant effect on door to doctor time. • Implementation of ED KaT significantly shortened door to doc. (by 26 to 39 minutes) • (Other improvements may have had an effect. RTA, UCC) • ED KaT times are longer than SMS times. • (ED KaT is probably more close to real time.) • Results have sustained over at least 2 months.

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