• Am J Med Qual · Mar 2011

    Multicenter Study

    Improving door-to-physician times in 2 community hospital emergency departments.

    • Shari Welch and Joseph Dalto.
    • Intermountain Institute for Healthcare Delivery Research, 36 South State Street, 16th Floor, Salt Lake City, UT 84111-1633, USA. sjwelch56@aol.com
    • Am J Med Qual. 2011 Mar 1;26(2):138-44.

    AbstractDoor-to-physician time in the emergency department (ED) correlates with patient satisfaction and clinical quality and outcomes. Delays in seeing a provider result in a 3% nationwide rate of patients leaving without being seen (LWBS) after presenting for ED care. Two community hospitals had door-to-physician times of 51 and 47 minutes. The LWBS rates were 3% and 2%. A quality improvement project was initiated with a change package, including prompts, training, and feedback. Door-to-physician times decreased to 31 and 27 minutes. The change occurred in less than a month and was sustained for 6 months after the study. In addition, the LWBS rates at each facility fell by one third. Basic process improvement strategies borrowed from service industries were used in 2 EDs to improve the door-to-physician process.

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