What question did this study set out to answer?

To identify individual waypoints along the emergency department patient journey and evaluate which act as primary bottlenecks to meeting the 4-hour emergency access target.

November 8, 2016Emergency Medicine AustralasiaOpen Access

Analysing the emergency department patient journey: Discovery of bottlenecks to emergency department patient flow

View Full Paper

Ask AI

Bookmark

Authors

SKSankalp KhannaCommonwealth Scientific and Industrial Research Organisation JBJustin BoyleMount Sinai Hospital NGNorm GoodCommonwealth Scientific and Industrial Research Organisation

Discussion

Member takes

Implication

Retrospective analysis reveals departure delay as the primary bottleneck in emergency departments, indicating that inpatient bed transfers drive access target performance.

Key Points

To identify individual waypoints along the emergency department patient journey and evaluate which act as primary bottlenecks to meeting the 4-hour emergency access target.
Conducted retrospective analysis and simulation using 2 years of administrative data from two major and two large metropolitan hospitals in Queensland, Australia.
Evaluated waypoint wait times (treatment delay and departure delay), emergency department length of stay, and access target compliance across triage categories, departure statuses, and time intervals.
Departure delay accounted for 60% of emergency department length of stay at large metropolitan hospitals and 20% at major metropolitan hospitals.
Simulated reductions showed that halving departure delay improved admitted access target compliance by up to 22% in large hospitals and up to 4% in major hospitals, offering greater gains than reducing treatment delay.

Cite This Study

Khanna et al. (2016) studied this question.

synapsesocial.com/papers/6aa85135f8f5a5f837d714cb https://doi.org/10.1111/1742-6723.12693

View Full Paper

Ask AI

Bookmark

Implication

Retrospective analysis reveals departure delay as the primary bottleneck in emergency departments, indicating that inpatient bed transfers drive access target performance.

Analysing the emergency department patient journey: Discovery of bottlenecks to emergency department patient flow

Discussion

Member takes

Implication

Key Points

Cite This Study

Analysing the emergency department patient journey: Discovery of bottlenecks to emergency department patient flow

Discussion

Member takes

Implication

Key Points

Cite This Study

Also Consider

Also Consider