alexa From an Overcrowded to a Smoothly Functioning Emergency Department within Two Months
ISSN: 2329-9126

Journal of General Practice
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Research Article

From an Overcrowded to a Smoothly Functioning Emergency Department within Two Months

Fuad Basis*

Deputy Director Medical and Research Development, Israel

*Corresponding Author:
Fuad Basis
Deputy Director Medical and Research Development, Israel
Tel: +972-502061402
E-mail: [email protected]

Received date: January 16, 2017; Accepted date: January 25, 2017; Published date: February 06, 2017

Citation: Basis F (2017) From an Overcrowded to a Smoothly Functioning Emergency Department within Two Months. J Gen Pract (Los Angel) 5:287. doi:10.4172/2329-9126.1000287

Copyright: © 2017 Basis F. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



Background: Our Emergency Department (ED) went through two periods with different managers. Although the number of beds, visits and admissions during these two periods didn't change significantly, a change in the ED’s policy, without a change in the hospital’s policy, converted a very crowded ED to an uncrowded one within few weeks, and changed the pattern of work in the hospital, gradually for many years.
Objectives: To share our experience and describe how a very crowded ED was transformed into an uncrowded one within few weeks and how we maintained the change thereafter. Methods: All data concerning the ED and other department activities were collected by using our hospital’s computerized business intelligence (BI) system.
Results: The average length of stay (LOS) of admitted patients in the ED was 5.05+0.98 hrs during period "A" (1993-2001). It dropped to 2.45+0.21 during period "B" (2002-2007) (P<0.001). The percent of patients boarding in the ED more than 10 hours dropped from 11.5+2.4% (period “A”) to 2.6+0.7% (period “B”) within three months. Despite a gradual increase in the number of admissions to the GM wards, there was a gradual decrease in the average LOS during period "B", compared to period "A" (6.1 vs. 5.5 days) (P=0.001). The death rate among patients in the ED and in the GM wards decreased significantly during period "B" (P<0.001).
Conclusions: We were able to achieve a difficult goal of eliminating overcrowding in the ED and consequently, other hospital’s wards only through assertiveness, persistence, adherence to protocols and the full personal backing of the hospital's manager.


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