Lean intervention improves patient discharge times, improves emergency department throughput and reduces congestion

Patients admitted to a tertiary care children's hospital

Lean intervention (team staffing reconfiguration for bedside discharge work using a new discharge checklist, and an afternoon interdisciplinary huddle for the following day's discharges)

Patients discharged from all other pediatric subspecialty services

Median times of discharge order entry, patient discharge, percent of patients discharged before noon, median hour of day admitted patients left the ED, and median ED boarding times