scholarly journals A Front-end Redesign With Implementation of a Novel “Intake” System to Improve Patient Flow in a Pediatric Emergency Department

2020 ◽  
Vol 5 (2) ◽  
pp. e263
Author(s):  
Kevin P. Carney ◽  
Ann Crespin ◽  
Gray Woerly ◽  
Nicholas Brethouwer ◽  
Jeff Baucum ◽  
...  
2018 ◽  
Vol 3 (6) ◽  
pp. e122 ◽  
Author(s):  
Deena A. Berkowitz ◽  
Kathleen Brown ◽  
Sephora Morrison ◽  
Asha Payne ◽  
Jeannie Pettinichi ◽  
...  

Author(s):  
Andrea Rivera-Sepulveda ◽  
Timothy Maul ◽  
Katherine Dong ◽  
Kylee Crate ◽  
Talia Helman ◽  
...  

ABSTRACT Objective: To determine how the early stages of the COVID-19 pandemic affected the utilization of the Pediatric Emergency Department (PED). Methods: Cross-sectional study of PED visits during January through April, 2016-2020. Data included: total PED visits, emergency severity index (ESI), disposition, chief complaint, age (months), time from first Provider to Disposition (PTD), and PED length of stay (PED-LOS). P-value <0.01 was statistically significant. Results: In total, 67,499 visits were reported. There was a significant decrease in PED visits of 24-71% from March to April 2020. Chief complaints for fever and cough were highest in March 2020; while April 2020 had a shorter mean PED-LOS (from 158 to 123 minutes), an increase of admissions (from 8% to 14%), a decrease in ESI 4 (10%), and an increase in ESI 3 (8%) (p<0.001). There was no difference in mean monthly PTD time. Conclusions: Patient flow in the PED was negatively affected by a decrease in PED visits and increase in admission rate that may be related to higher acuity. By understanding the interaction between hospital processes on PEDs and patient factors during a pandemic, we are able to anticipate and better allocate future resources.


PLoS ONE ◽  
2019 ◽  
Vol 14 (7) ◽  
pp. e0219514 ◽  
Author(s):  
Anqi Liu ◽  
David M. Kline ◽  
Guy N. Brock ◽  
Bema K. Bonsu

2007 ◽  
Vol 23 (1) ◽  
pp. 5-10 ◽  
Author(s):  
Geoffrey R. Hung ◽  
Sandra R. Whitehouse ◽  
Craig O'Neill ◽  
Andrew P. Gray ◽  
Niranjan Kissoon

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