• Eur J Emerg Med · Dec 2006

    Planning emergency patients: An attempt to change the nature of the emergency department.

    • Remco Rosmulder, Koos Krabbendam, and Jan S K Luitse.
    • Department of Operations, Organisation and Human Resources, Faculty of Business, Public Administration and Technology, University of Twente, Enschede, The Netherlands. r.w.rosmulder@utwente.nl
    • Eur J Emerg Med. 2006 Dec 1; 13 (6): 377-9.

    AbstractThroughout the day, arrivals of patients at the emergency department (ED) are unannounced, unpredictable and fully determined by chance. Healthcare professionals in the ED naturally react as quickly as possible when patients arrive. We wondered whether they could somehow act in advance. We introduced a planning system that enabled the ED to regulate arrival times of emergency patients referred by the general practitioner. The system established direct contact between the general practitioner and the ED at the press of a button. As a result, the ED was able to schedule a fraction of its unpredictable patient demand. Implementation of the system at large was unsuccessful however. Changing the nature of the ED turned out to be far more difficult than expected. In our opinion, successfully planning emergency patients requires that the ED has full control over the referral process, and that scheduled patients are treated in a separate, undisturbed care process.

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