Resident-driven Quality Improvement Pre-post Intervention Targeting Reduction of Emergency Department Decision to Admit Time

Rahim Kachra MD,Alison Walzak MD, Stacey Hall MD, William JA Connors MD, Katherine A Eso MS, Alejandra Boscan MD,Fiona Clement PhD, Jayne M Holroyd-Leduc MD

Canadian Journal of General Internal Medicine（1970）

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摘要

Long Emergency Department (ED) wait times represent a key point for quality improvement in many healthcare systems. A delayed ED disposition decision may lead to increased length of hospital stay, healthcare cost, and mortality. The objective of this resident-driven quality improvement (QI) intervention was to determine if a standardized resident admission protocol could reduce the ‘decision-to-admit’ (DTA) time of patients being assessed for admission to internal medicine (IM) at 3 tertiary care teaching hospitals.

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关键词

emergency department decision,emergency department,improvement,intervention,resident-driven,pre-post

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