Impact of an expeditor on emergency department patient throughput

Daniel A. Handel, Oscar Ma, Judi Workman, Rongwei (Rochelle) Fu

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Objective: Our hypothesis was that an individual whose primary role was to assist with patient throughput would decrease emergency department (ED) length of stay (LOS), elopements and ambulance diversion. The objective of this study was to measure how the use of an expeditor affected these throughput metrics. Methods: This pre- and post-intervention study analyzed ED patients ≥ 21-years-old between June 2008 and June 2009, at a level one trauma center in an academic medical center with an annual ED census of 40,000 patients. We created the expeditor position as our study intervention in December 2008, by modifying the job responsibilities of an existing paramedic position. An expeditor was on duty from 1PM-1AM daily. The pre-intervention period was June to November 2008, and the postintervention period was January to June 2009. We used multivariable to assess the impact of the expeditor on throughput metrics after adjusting for confounding variables. Results: We included a total of 13,680 visits in the analysis. There was a significant decrease in LOS after expeditor implementation by 0.4 hours, despite an increased average daily census (109 vs. 121, p

Original languageEnglish (US)
Pages (from-to)198-203
Number of pages6
JournalWestern Journal of Emergency Medicine
Volume12
Issue number2
StatePublished - May 2011

Fingerprint

Hospital Emergency Service
Censuses
Ambulance Diversion
Length of Stay
Allied Health Personnel
Confounding Factors (Epidemiology)
Trauma Centers

Keywords

  • Administration
  • ED
  • Process improvement

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Impact of an expeditor on emergency department patient throughput. / Handel, Daniel A.; Ma, Oscar; Workman, Judi; Fu, Rongwei (Rochelle).

In: Western Journal of Emergency Medicine, Vol. 12, No. 2, 05.2011, p. 198-203.

Research output: Contribution to journalArticle

Handel, Daniel A. ; Ma, Oscar ; Workman, Judi ; Fu, Rongwei (Rochelle). / Impact of an expeditor on emergency department patient throughput. In: Western Journal of Emergency Medicine. 2011 ; Vol. 12, No. 2. pp. 198-203.
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