Resident-driven Quality Improvement Pre-post Intervention Targeting Reduction of Emergency Department Decision to Admit Time

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Rahim Kachra MD
Alison Walzak MD
Stacey Hall MD
William JA Connors MD
Katherine A Eso MS
Alejandra Boscan MD
Fiona Clement PhD
Jayne M Holroyd-Leduc MD

Abstract

Long Emergency Department (ED) wait times represent a key point for quality improvement in many healthcare systems. A delayed ED disposition decision may lead to increased length of hospital stay, healthcare cost, and mortality. The objective of this resident-driven quality improvement (QI) intervention was to determine if a standardized resident admission protocol could reduce the ‘decision-to-admit’ (DTA) time of patients being assessed for admission to internal medicine (IM) at 3 tertiary care teaching hospitals.
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