The Impact of Implementing a Provider in Triage in the Emergency Department on Overall Length of Stay and Frequency of Patients Leaving Without Being Seen
Publisher:
The Ohio State UniversitySeries/Report no.:
The Ohio State University. College of Nursing Doctor of Nursing Practice Final Document ProjectsAbstract:
Hospital emergency departments are experiencing overcrowding across the United States, which causes adverse effects such as increased patients leaving without being seen, increased length of stay, and prolonged wait times. A local emergency department (ED) is experiencing an increase in the numbers of left without being seen (LWBS) patients. The effects can be detrimental for the patient, and organization.
As a departmental intervention and quality improvement study, a provider was in triage for a trial period of five days during the highest volume hours. The purpose of this project is to determine if the impact of implementing a provider in triage (PIT) reduces the frequency of LWBS patients, and/or decreases the length of stay (LOS) for discharged patients. The data obtained shows a positive impact of the PIT on LWBS rates as it decreased from 11.6% to 3.5%, decreased LOS for discharged patients of 57.8 minutes, and decreases lost revenue by $109,480.
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