1,411
Views
41
CrossRef citations to date
0
Altmetric
Clinical Features - Original Research

Lean intervention improves patient discharge times, improves emergency department throughput and reduces congestion

, , , &
Pages 252-259 | Received 29 Apr 2016, Accepted 26 Oct 2016, Published online: 15 Nov 2016

References

  • Emergency Department Crowding: High-Impact Solutions. ACEP Task force. Cairo: Hindawi Publishing Corporation; 2008. Thompson Reuters Academic Editor: Walter Mauritz.
  • Boyle A, Beniuk K, Higginson I, et al. Emergency department crowding: time for interventions and policy evaluations. Emerg Med Int. 2012;2012:838610.
  • Bradley VM. Placing emergency department crowding on the decision agenda. J Emerg Nurs. 2005 Jun;31(3):247–258.
  • Pitts SR, Pines JM, Handrigan MT, et al. National trends in emergency department occupancy, 2001 to 2008: effect of inpatient admissions versus emergency department practice intensity. Ann Emerg Med. 2012 Dec;60(6):679–686 e673.
  • Derlet RW, Richards JR. Overcrowding in the nation’s emergency departments: complex causes and disturbing effects. Ann Emerg Med. 2000 Jan;35(1):63–68.
  • Wertheimer B, Jacobs RE, Iturrate E, et al. Discharge before noon: effect on throughput and sustainability. J Hosp Med. 2015 Oct;10(10):664–669.
  • Powell ES, Khare RK, Venkatesh AK, et al. The relationship between inpatient discharge timing and emergency department boarding. J Emerg Med. 2012 Feb;42(2):186–196.
  • Gardner RL, Sarkar U, Maselli JH, et al. Factors associated with longer ED lengths of stay. Am J Emerg Med. 2007 Jul;25(6):643–650.
  • Yu DJ. Discharge before noon. Curr Emerg Hosp Med Rep. 2015;3(3):11–15.
  • Shine D. Discharge before noon: an urban legend. Am J Med. 2015 May;128(5):445–446.
  • Durvasula R, Kayihan A, Del Bene S, et al. A multidisciplinary care pathway significantly increases the number of early morning discharges in a large academic medical center. Qual Manag Health Care. 2015 Jan-Mar;24(1):45–51.
  • Beck MJ, Gosik K. Redesigning an inpatient pediatric service using Lean to improve throughput efficiency. J Hosp Med. 2015 Apr;10(4):220–227.
  • El-Eid GR, Kaddoum R, Tamim H, et al. Improving hospital discharge time: a successful implementation of six sigma methodology. Medicine. 2015 Mar;94(12):e633.
  • Leadership in Healthcare Organizations: A guide to Joint Commission Leadership Standards. Chicago (IL): Department of Publications Joint Commission Resources; 2015.
  • Cesta T. Case Management Insider: Managing Length of Stay Using Patient Flow-Part-1. Hosp Case Manag. 2013;1–4. ISSN10870652.
  • DelliFraine JL, Langabeer JR 2nd, Nembhard IM. Assessing the evidence of six sigma and lean in the health care industry. Qual Manag Health Care. 2010 Jul-Sep;19(3):211–225.
  • Nave D. How to compare six sigma, lean and the theory of constraints - A. framework for choosing what’s best for your organization. Qual Prog. 2002 Mar;35(3):73–78.
  • Graban M. Lean hospitals: improving quality, patient safety, and employee engagement. 2nd ed. New York: Productivity Press/Taylor & Francis; 2012.
  • Liu SW, Hamedani AG, Brown DF, et al. Established and novel initiatives to reduce crowding in emergency departments. West J Emerg Med. 2013 Mar;14(2):85–89.
  • Morris ZS, Boyle A, Beniuk K, et al. Emergency department crowding: towards an agenda for evidence-based intervention. Emerg Med J. 2012 Jun;29(6):460–466.
  • Solberg LI, Asplin BR, Weinick RM, et al. Emergency department crowding: consensus development of potential measures. Ann Emerg Med. 2003 Dec;42(6):824–834.
  • Mumma BE, McCue JY, Li CS, et al. Effects of emergency department expansion on emergency department patient flow. Acad Emerg Med. 2014 May;21(5):504–509.
  • B S. “Virtual bed capacity” may offer revenue boost for hospitals. 2011; http://www.healthcarefinancenews.com/blog/virtual-bed-capacity-may-offer-revenue-boost-hospitals. cited 2014.
  • Peberdy MA, Ornato JP, Larkin GL, et al. Survival from in-hospital cardiac arrest during nights and weekends. Jama. 2008 Feb 20;299(7):785–792.
  • Singer AJ, Thode HC Jr., Viccellio P, et al. The association between length of emergency department boarding and mortality. Acad Emerg Med. 2011 Dec;18(12):1324–1329.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.