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Shorter Wait Times in the ER

by Rathi Manohar on August 25, 2010 at 9:43 PM Hospital News

A new way of sorting patients for further evaluation and treatment could cut down waiting time in emergency rooms by more than one-third and the length of hospital stay by two-thirds.

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Nabeel Mandahawi of The Hashemite University in Zarqa, Jordan and colleagues have turned to a design strategy known as Six Sigma commonly used by engineers and manufacturers to improve their products, reduce costs and boost energy efficiency.

The researchers have investigated how the Six Sigma approach might improve the "product" - treated patients in a hospital emergency room. ER plays an important role in a patient's treatment cycle, the team explains, patients are admitted, go through a triage orientation, assessment and treatment process and then are either transferred to a hospital ward, another hospital, or discharged based on an emergency physician plan.

Mandahawi's local hospital has 237 beds and an average daily volume of emergency room patients of 448, although that number is always on the rise. Indeed, the annual volume of ER patients increased from 75,800 to 128,000 between 2004 and 2008. There has the team adds been a 75% increase in emergency patient flow over the last four years. ER patients are seen by staff working one of three shifts with an internist, a surgeon, two emergency physicians, one pediatrician, six staff nurses, one plaster -of-Paris (POP) nurse, and one clerk available on any given shift.

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