The ED-inpatient dashboard: Uniting emergency and inpatient clinicians to improve the efficiency and quality of care for patients requiring emergency admission to hospital

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Staib, A
Sullivan, C
Jones, M
Griffin, B
Bell, A
Scott, I
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2017
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Abstract

Patients who require emergency admission to hospital require complex care that can be fragmented, occurring in the ED, across the ED‐inpatient interface (EDii) and subsequently, in their destination inpatient ward. Our hospital had poor process efficiency with slow transit times for patients requiring emergency care. ED clinicians alone were able to improve the processes and length of stay for the patients discharged directly from the ED. However, improving the efficiency of care for patients requiring emergency admission to true inpatient wards required collaboration with reluctant inpatient clinicians. The inpatient teams were uninterested in improving time‐based measures of care in isolation, but they were motivated by improving patient outcomes. We developed a dashboard showing process measures such as 4 h rule compliance rate coupled with clinically important outcome measures such as inpatient mortality. The EDii dashboard helped unite both ED and inpatient teams in clinical redesign to improve both efficiencies of care and patient outcomes.

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Emergency Medicine Australasia

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29

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3

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© 2017 AMPCo Pty Ltd. This is the peer reviewed version of the following article: ED-inpatient dashboard: Uniting emergency and inpatient clinicians to improve the efficiency and quality of care for patients requiring emergency admission to hospital, Emergency Medicine Australasia, 2017, 29 (3), pp. 363-366, which has been published in final form at https://doi.org/10.5694/mja17.00151. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving (http://olabout.wiley.com/WileyCDA/Section/id-828039.html)

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Clinical sciences

Health services and systems

Public health

ED-inpatient interface

NEAT compliance

business analytics

business intelligence

dashboard

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Staib, A; Sullivan, C; Jones, M; Griffin, B; Bell, A; Scott, I, The ED-inpatient dashboard: Uniting emergency and inpatient clinicians to improve the efficiency and quality of care for patients requiring emergency admission to hospital, Emergency Medicine Australasia, 2017, 29 (3), pp. 363-366

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