Kennedy Medical Center Crowding Time Analysis
Time is of the essence in the ED. Nurses must work together in an ethical way to collaborate with their patients and make it quick. Mc Carthy et al. reported that to determine the effect of crowding on emergency waiting room, they did a cohort study including emergency visit and inpatient medicine occupancy for a 1 year period at 4 EDs. The result shows that during the day shift, when the number boarding increased from the 50th to the 90th percentile, the adjusted median waiting room time increased by 6% to 78%, and the adjusted median boarding time increased by 15% to 47% depending on the site. Using discrete time analysis and evaluation at Kennedy medical Center will dynamically demonstrate its deleterious effect on the waiting time and the number of staff needed.
System Level Objective
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This can be for instance 15 minutes. With The Affordable care Act, many people have access to health care now, and the healthcare system has to be specific and realistic about the time to improve the care. Gughes, of the Agency for Healthcare Research and Quality, specified that because errors are caused by system or process failures, it is important to adopt various process-improvement techniques to identify inefficiencies, ineffective care, and preventable errors to then influence change associated with systems. Kennedy Center should use crowding measures to evaluate if goals are being reached. For example measure crowding at 15 minutes, then 30 minutes intervals throughout each patient’s time spent at the ambulatory care and how many nurses were involved in care for a period of 3
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