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- ED Manag. 2011 Jul 1; 23 (7): 78-80.
AbstractWith a poor safety record and long waits for care, the ED at St. Vincent's Medical Center in Bridgeport, CT, launched a comprehensive improvement effort that has slashed door-to-doctor times, drastically improved patient satisfaction, and reduced serious safety events to zero during the past year. Key to the approach is a team-based operations system that makes care teams responsible for specific zones in the ED. Patient satisfaction has gone from the single digits to above 90% in almost all areas, but high satisfaction is now harder to sustain because of elevated patient expectations. Door-to-doctor times have been reduced from 126 minutes to less than 25 minutes. Team approach to care improves clinician satisfaction while reducing errors. A streamlined triage system has eliminated several steps for low-acuity patients.
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