Key result
Multimodal hospital intervention linked to ~23% better four-hour ED performance and reduced daily crowding.
Why the study?
Does a multimodal hospital-wide intervention improve ED crowding and quality measures in patients presenting to a tertiary hospital ED?
Population
Patients presenting to a 600-bed adult/paediatric tertiary hospital ED with 80,000 ED presentations annually
Comparison
Management-supported, multimodal, hospital-wide… vs 3 years of historical controls in matched…
Design
Cohort
Follow-up
20 weeks
Authors
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Supports multimodal interventions for ED flow in tertiary hospitals; extends observational data but leaves causality and generalizability open.
Observational
No
Does a multimodal hospital-wide intervention improve ED crowding and quality measures in patients presenting to a tertiary hospital ED?
Absolute Event Rate: 68.8% vs 56.1%
A multimodal hospital-wide intervention significantly improved ED flow and reduced crowding without compromising quality measures.
Richardson et al. (2017) conducted an observational in Emergency department crowding. Multimodal hospital-wide intervention vs. Historical controls was evaluated on 4-hour performance as a proportion of all patients. A multimodal, hospital-wide intervention improved 4-hour emergency department performance from 56.1% to 68.8% and reduced daily crowding time from 6 hours 34 minutes to 29 minutes.
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