Just the Facts: how to teach emergency department flow management

CJEM ◽  
2020 ◽  
Vol 22 (4) ◽  
pp. 459-462
Author(s):  
Teresa M. Chan ◽  
Jonathan Sherbino ◽  
Arthur Welsher ◽  
Alexander Chorley ◽  
Alim Pardhan
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Patient Flow ◽  
Learning Objective ◽  
Waiting Room ◽  
Flow Management ◽  
Charge Nurse ◽  
Physician Office ◽  
Management Plans ◽  
Evening Shift

Even before starting your evening shift you know it's going to be busy. Ambulances are lined up in front of the hospital, and the charge nurse already seems stressed out. The senior Emergency Medicine (EM) resident is standing in the physician office, ready to start her shift as well. You have worked with her a few times during this rotation. She is competent, you trust in her management plans for all her individual patients. Together you both review the patient tracker: a variety of patient presentations ready to be seen, plus an additional 20 patients in the waiting room. Negotiating the learning objective for the shift, the resident indicates that she would like to work on more efficiently managing patient flow and the administration of the emergency department (ED). But…isn't that a skill you just learn from experience? You wonder what evidence-informed strategies might exist for training her for this next step.

scholarly journals Strategies for managing a busy emergency department

CJEM ◽  
2004 ◽  
Vol 6 (04) ◽  
pp. 271-276 ◽  
Author(s):  
Samuel G. Campbell ◽  
Douglas E. Sinclair ◽  
Keyword(s):  
Emergency Department ◽  
Clinical Decision Making ◽  
Patient Flow ◽  
Management Strategies ◽  
Clinical Decision ◽  
Emergency Physicians ◽  
Flow Management ◽  
Time Space ◽  
Canadian Association ◽  
Exit Block

ABSTRACT In a time of increased patient loads and emergency department (ED) exit block, the need for strategies to manage patient flow in the ED has become increasingly important. In March 2002 we contacted all 1282 members of the Canadian Association of Emergency Physicians and asked them to delineate strategies for enhancing ED patient flow and ED productivity without increasing stress levels, reducing care standards or compromising patient safety. Thirty physicians responded. Their suggested flow management strategies, which ranged from clinical decision-making to communication to choreography of time, space and personnel, are summarized here.

scholarly journals Work Pressure and Patient Flow Management in the Emergency Department: Findings From an Ethnographic Study

2011 ◽  
Vol 18 (10) ◽  
pp. 1045-1052 ◽  
Author(s):  
Peter Nugus ◽  
Anna Holdgate ◽  
Margaret Fry ◽  
Roberto Forero ◽  
Sally McCarthy ◽  
...  
Keyword(s):  
Emergency Department ◽  
Patient Flow ◽  
Ethnographic Study ◽  
Flow Management ◽  
Work Pressure ◽  
Patient Flow Management

scholarly journals SurgeCon: Priming a Community Emergency Department for Patient Flow Management

2019 ◽  
Vol 20 (4) ◽  
pp. 654-665 ◽  
Author(s):  
Christopher Patey ◽  
Paul Norman ◽  
Mehdee Araee ◽  
Shabnam Asghari ◽  
Thomas Heeley ◽  
...  
Keyword(s):  
Emergency Department ◽  
Patient Flow ◽  
Flow Management ◽  
Patient Flow Management

scholarly journals The Impact of a Concierge Medicine Model on Door to Doctor Time and Patient Flow in an Urban Emergency Department

2020 ◽  
Vol Volume 12 ◽  
pp. 13-18
Author(s):  
Asher L Mandel ◽  
Thomas Bove ◽  
Amisha D Parekh ◽  
Paris Datillo ◽  
Joseph Bove Jr ◽  
...  
Keyword(s):  
Emergency Department ◽  
Patient Flow ◽  
The Impact ◽  
Urban Emergency Department

How Well were Asthmatic Patients Educated about Their Asthma? A Study at the Emergency Department

2004 ◽  
Vol 16 (1) ◽  
pp. 45-49 ◽  
Author(s):  
P.Y. Lee ◽  
E.M. Khoo
Keyword(s):  
Emergency Department ◽  
Health Care Providers ◽  
Teaching Hospital ◽  
Care Providers ◽  
Self Medication ◽  
Asthmatic Patients ◽  
Management Plans ◽  
Acute Asthma Exacerbation ◽  
The Difference ◽  
Bronchodilator Treatment

70 patients presented with acute asthma exacerbation requiring nebulised bronchodilator treatment at the emergency department of a teaching hospital in Kuala Lumpur, Malaysia, were interviewed over a two-week period in July 2001. The results showed that 45 (64%) patients had not been educated on the nature of asthma; 30 (43%) had not been advised on preventive measures or avoidance of triggers; 54 (77%) were not advised about the medications used and their side effects; 42 (60%) patients did not know the difference between reliever and preventive medications; 37 (53%) were unable to recognize features of worsening asthma and 68 (97%) were not told about the danger of non-prescribed self-medication or traditional medications. Only six (9%) patients were using peak flow meters and were taught self-management plans. The multiple regression results suggest that patients who were followed up at teaching hospital based clinics were better educated on asthma. In conclusion, asthmatic patients are still not educated well about their disease. Health care providers need to put more emphasis on asthma education so that the number of emergency room visits can be reduced. Asia Pac J Public Health 2004; 16(1): 45-49.

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