1 / 10

30 March 2007 - Auckland

Improving Triage Times in ED Presenter: Dr Peter Freeman Hospital: Wellington Contact: Peter Freeman (peter.freeman@ccdhb.org.nz). 30 March 2007 - Auckland. AIM OF THIS PROJECT. To try to meet the ACEM Emergency Triage target times to improve the patient journey on arrival in ED

usoa
Download Presentation

30 March 2007 - Auckland

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Improving Triage Times in EDPresenter: Dr Peter FreemanHospital: WellingtonContact: Peter Freeman (peter.freeman@ccdhb.org.nz) 30 March 2007 - Auckland

  2. AIM OF THIS PROJECT • To try to meet the ACEM Emergency Triage target times to improve the patient journey on arrival in ED • Emergency Department • Sustained over at least six months • Ambulatory care area funded but no additional staff required

  3. KEY PROBLEM

  4. PREDICTING WORKLOAD

  5. KEY CHANGES IMPLEMENTED • The ambulatory care area was completed in mid 2006 • In Sept 06 three other significant process changes were implemented: • Nurses were assigned to zones • Ambulance roadside to bedside • Children's assessment unit operative

  6. OUTCOMES TO DATE

  7. EVERY YEAR GETS BUSIER

  8. VARIATIONS BY TRIAGE ‘01 – ‘07

  9. PROJECT EVALUATION • Don’t give up on ACEM Triage targets they are a useful measure at the start of the patient journey and can be improved! • If you are going to include all specialties in reports – then EM must initiate treatment in ED • Improving triage compliance makes everyone feel better (patients and staff!) • Ambulatory care streaming only works if you also zone nurses to the area • Eliminate the muda (double handling)!

  10. WHAT NEXT? • Patient tracking in ED has identified extreme waits: • Patients waiting for Radiolgy and Lab results • Specialty Assessment Delays (SAD) • Radiology + Labs – alerting the clinician • SAD – no sorting system – just a queue! • BED MANAGEMENT

More Related