Emergency Department Ratios

A huge effect of boarding patients/overcrowding emergency departments is ambulance diversion. It occurs when a hospital ED cannot accommodate any more emergency patients so

Quality of service should be one of the most important and well monitored goals for any medical facility, from your small town family doctor’s office, to nursing and rehabilitation facilities, all the way to large hospital systems. The quality of service provided in a facility doesn’t just affect the patients. Quality of service also affects the bottom line, or whether or not the hospital system is profitable. In order to better access the system’s current quality of service and to devise improvement plans I would need to explore issues that have significant effect on quality of care such as, patient satisfaction and retention, medical errors

Assess the current Models of Care in their Emergency Departments using the given criteria It is recognised that not all of the Models of Emergency Care are applicable for all NSW Emergency Departments. Decisions to implement them will be made based on the staff, patient presentations and space available in the ED to operate each model. Assess the potential to introduce models to their hospitals that may improve patient care and flow, the patient experience and clinical outcomes

Quality improvement in healthcare is “the use of a deliberate and defined improvement process” in order to respond to organization needs to improve the health of the population through quality (Bialker, Beitsch, Cofsky, 2010). Quality Improvement tools and techniques have been used considerably in Health Care Organizations in order to solve many major problems that the organization may have. One tool that is often used to analyze a successful process to analyze quality is the Cause and Effect Diagram. This Cause and Effect Diagram can then be turned into a Success and Effect Diagram. However, instead of using the “5 Why’s” like in a Cause and Effect Diagram,

The ED staff nurses also agreed with the statement “Enough registered nurses to provide quality patient care” (2.69). The 3rd statement “Enough staff to get the work done” garnered an average of only (2.7). This mean generally showed an agreement with the statements on the low side validation, poor staffing of both RNs and support personnel was cited by ED nurses as the reasons for unproductive and poor quality of work. ED nurses provide emergency care ranging from an average of one hundred (100) to two hundred fifty (250) patients per

When will I see a Doctor? When will I get a bed? These are the questions that are constantly asked when in the Emergency Department (ED). The Canadian Association of Emergency Physicians (CAEP) & National emergency Nurses Affiliation (NENA)(2003) defines overcrowding as a situation where “services exceeds the ability to provide care within a reasonable time, causing doctors and nurses to be unable to provide quality care” (“ED overcrowding”, para. 2). Maintaining access and flow in the ED is essential to the improvement of overcrowding. I am in agreement with the people of Ontario, who state that it is frustrating to wait for hours just to see a doctor or to be transferred to an in-patient unit. Firstly, overcrowding

The most important measure to consumers is the process of care measures. Process measures are the evidence-based best practices that represent a health system’s efforts to systematize its improvement efforts. Basically, by implementing and tracking the right process metrics we can determine what treatments work and what needs to be improved. It is true that all patients expect to walk out of a hospital with good health outcomes and experiences. However, it is the process that leads up to the proof that the treatments being delivered work, which in turn gives those patients satisfaction in their healthcare. I would not say that one of the measures is necessarily least important than the others because they all hold value in the delivery of

Emergency Departments (ED) overcrowding in Canada has become an epidemic. ED overcrowding has been defined as “a situation in which the demand for emergency services exceeds the ability of an (emergency) department to provide quality care within acceptable time frames” (Ontario Ministry of Health and Long Term Care, 2014). This has been an ongoing problem across Canada. Ontario has developed an initiative to reduce ED wait times by implementing a variety of strategies. This paper describes the Emergency Room NARCS Intuitive (ERNI), an innovative program which focuses on reducing ED wait times and patient satisfaction in order to optimize quality of care.

In this paper I discuss how holding patients in the Emergency Department (ED) has a negative effect on patients. To many patients in the ED , medication errors and patients lingering in the ED instead of being in the Intensive Care Unit (ICU) are the main cause of mortality and morbidity. For this assignment, I gathered information to figure out if the increased number of patients in the ED, medication errors, and the length of time ICU patients are held in the ED at Ohio Valley Medical Center (OVMC) is an actual issue that is effecting our patients. After doing a complete assessment and gathering the needed information, a plan will be put together to cut back

I agree with you. In order to improve quality care, it is important to evaluate outcomes, structure and process. The six aims from the IOM should be considered when planning quality care and that is done in process and structure. There are times when outcome are positive but the process or structure might be poor.

The American College of Emergency Physicians (ACEP) states crowding as, “the identified need for emergency services exceeds available resources for patient care in the ED, hospital or both” (acep.org). What is fueling these incidents is the rapid increase in ED visits combined with diminishing numbers of ED. In a study conducted by the Academic Emergency Medicine explains that, “ ED crowding is worsening in the US as demonstrated by longer waiting times to see clinicians and is likely exacerbated by the worsening problem of ED boarding, where admitted patients often stay for long periods in the ED waiting for inpatient bed placement” (Aronsky et al., 2011; p. 528). Crowding could possibly affect clinical outcomes, such as mortality, which may adversely lead to delays for time sensitive patients. These outcomes would then lead to a higher rate of patient dissatisfaction within the ED, thus leading to an increase amount of patients left without being seen (LWBS) rates.

Outcome is the desired result of the delivery of care on the overall health status of the patient. There are two types of outcomes: 1) technical outcomes, this denotes to the physical and functional aspects of care, such as absence of complications and reduction in disease, morbidity and mortality; and 2) interpersonal outcomes which include patients’ satisfaction with the received care and impact of care on patient’s quality of life in patient’s perspective. Outcome data are information which reflects, directly or indirectly, the performance of a health intervention, facility, service or system in maintaining or improving the wellbeing of its target population. Additionally, outcome data are high level clinical and financial outcomes that

Outcome measurements are used to evaluate the health status of patients following the care he/she has received in a given hospital. The measurements look at both the intended and unintended effects such care might have had on the health status of patients and general function. They also help evaluate the level to which a hospital is achieving its goals as they relate to the care being provided to a patients. Outcome measurements usually include traditional measures such as mortality, morbidity, and issues that are related to quality of life. They incorporate patient satisfaction reports related to the healthcare services they have received. These measures are important to patients looking for a hospital as he/she may seek the opinion of persons who have previously received medical care in a given hospital (Jha &Epstein, 2010).

Emergency departments suffer more from patient delays than perhaps any other component of the healthcare system. Delays in emergency departments remain an essential challenge, prompting comments such as: “Access Block and ED overcrowding have created a dynamic tension and the future of emergency medicine will be determined by the resolution of this conflict”.4 But to understand and deal with the problems of long waiting lists and access block in any given health care facility, specific studies and actions are

The common characteristic of all definitions is that a performance indicator provides information which is possibly a reflection of the quality of an object in the healthcare system. Performance is the evaluation of how good organizations being manage and the value they deliver for customers and other stakeholders (Moullin, 2007). Satisfying the end user such as the patient, medical or administrative staff and visitor can lead to sustainable value creation (Kaplan & Norton, 2004). Saving lives and providing patients with good services are the main business function for healthcare. It is important for healthcare to provide an adequate and appropriate medical support to satisfy patients’ during treatment. At the same time healthcare personnel can use the medical support for research purposes. Healthcare need to provide continues training for health-care personnel to improve the physical environment.