Developing a culture of direct bedding in a freestanding ED
Elisabeth Novakovich, MSN, RN, CEN, EMT-P; Judy Woodman, MS, BSN, RN, CEN; Charles Edward Woodman, MS, BSN, RN, CEN
- Sigma Affiliation
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Novakovich, Elisabeth by View
Popular Works for Novakovich, Elisabeth by Download
Session B presented Thursday, September 27, 11:30 am-12:30 pm Purpose: Emergency Department overcrowding is a serious problem that has a strong correlation with patient satisfaction.Wait times and overcrowding in Emergency departments result in patients leaving without being treated and reflects poor patient satisfaction and increased liability. Directly placing patients in beds and bypassing the triage process decreases the patients’ perception of “wait time,” thus increasing patient satisfaction.The Freestanding Emergency Department (FSED) has created a culture where direct bedding has resulted in stellar patient perception results and patients that “left without being treated” (LWOT) well below national benchmark of 2.0. Therefore, in anticipation of increasing volumes, sustaining our current gains may become a challenge. Design: The project was a quality assurance project. The project aim was for fiscal year 2016/2017 the FSED will maintain and sustain Press Ganey patient perception results above the 90th percentile in all domains. In addition, the FSED will maintain patients LWOT's at or below 0.60%. Setting: The setting is a freestanding 19 bed Emergency department which is part of a Community Hospital System located in a seasonal Florida community. The freestanding ED is six miles from the closest admitting campus and serves all age groups. Participants/Subjects: The participants included all Press Ganey surveys returned for the fiscal year 2016/2017 of discharged patients from the freestanding Emergency Department. All Emergency Department staff and ancillary staff participated in the project. Methods: The method used was PDSA (Plan, do, study, act) and using a test of change. Plan: The goal was to sustain current gains of exceeding benchmark in Press Ganey patient satisfaction scores and low LWOT rate via communication strategies. These strategies will focus on reinforcing the practice of direct bedding and its positive effect on patient satisfaction scores and LWOT rate. Do: Shared scores at huddles, staff meetings and posted in the department. Engaged staff in discussions and provided opportunity for feedback. Study: Ongoing monitoring of patient satisfaction, LWOT rates and compliance in use of direct bedding was done daily via metric reporting. Act: Modified process as indicated by staff feedback, results of data collection and compliance in use of direct bedding. Results/Outcomes: The freestanding ED achieved stellar results. The Press Ganey patient perception scores not only were maintained above the 90th percentile the entire year but have exceeded and were maintained in the 99th percentile. The Freestanding ED continues to achieve above the 90th percentile in all domains. The Freestanding ED has maintained an LWOT rate <0.6% and continues to maintain that level. Implications: In conclusion direct bedding has a positive affect on improving patient satisfaction and LWOT rates in a freestanding ED. Direct bedding achieved a high level of employee satisfaction and a strong team culture. Ongoing vigilance is required to ensure direct bedding becomes a hardwired process in the freestanding culture. Assurance is necessary that all ED staff and ancillary staff understand the process and the goals including any float staff.
Emergency Nursing 2018. Held at David L. Lawrence Convention Center, Pittsburgh, Pennsylvania, USA
|Review Type||Abstract Review Only: Reviewed by Event Host|
Emergency Department Overcrowding
|Name||Emergency Nursing 2018|
|Host||Emergency Nurses Association|
|Location||Pittsburgh, Pennsylvania, USA|
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
Ultrasound guided vs. standard direct visualization of peripheral intravenous access in Kilimanjaro Region emergency department Stene, Edward C.; Smallheer, Benjamin A.; Jaffa, Elias J.The use of ultrasound is becoming more portable and affordable for healthcare providers. However, there is scant literature on ultrasound use for PIV access outside of developed countries.
Implementation of a vertical care area and enhancement of the triage process for patient throughput in a freestanding emergency department McLary, Katharine (2017-12-05)Session G presented Saturday, September 16, 2017 Purpose: The objective of this performance improvement project was to improve the overall triage process and create a vertical care treatment area in the freestanding ...
Reattendance of pediatric fever cases in a local accident and emergency department: A retrospective cohort study Li, Sun Fei; Wong, Janet Yuen Ha; Fong, Daniel Yee TakFever in children is one of the most common reasons for pediatric reattendance in Accident and Emergency department (AED). These children who reattend to AED contribute to overcrowding, which may reflect the generalized ...
Electronic handoff process for ED boarders admitted to medical-surgical and telemetry units Medina, KatherineThe telephonic hand off process utilized to transfer ED boarders with assigned beds was causing major delays. The time from bed assignment to admission on the inpatient medical-surgical and telemetry units was 2 hours on ...
Catch & release: Impact of a standard emergency department (ED) discharge process Ridgeway, Gentry; Thompson, Tracy; Woltz, PatriciaInconsistent nursing practice for discharging patients was noted as shown by varying Professional Research Consultant (PRC) scores gathered by third party consultant group for discharge instructions. Research studies have ...