Improving the Brooke Army Medical Center Department of Emergency Medicine Admissions Process

reportActive / Technical Report | Accession Number: ADA473596 | Open PDF

Abstract:

This study determined, evaluated, and proposed ways to mitigate factors contributing to overcrowding and wait times experienced by patients admitted through the Brooke Army Medical Center Emergency Department. Data was collected on 343 patients admitted between August 8 and September 4, 2005. Bivariate correlation analysis revealed staffing, ED census, and day as contributors to wait time. Based on these results, the following recommendations were made consolidate sign-in and triage restructure andor retrain nursing teams change staff days to days with the highest wait times increase use of Fast Track improve automation and use a direct admissions system.

Author(s):
Fuda, John R.
Author Organization(s):
BROOKE ARMY MEDICAL CENTER FORT SAM HOUSTON TX
Descriptive Note:
Master's thesis
Pagination:
0069

Security Markings

DOCUMENT & CONTEXTUAL SUMMARY

Distribution:
Approved For Public Release
Distribution Statement:
Approved For Public Release; Distribution Is Unlimited.

RECORD

Collection: TR
Identifying Numbers
Report Number(s):
AMDCS-3-06
Monitor Series:
AMDCS
 Subject Terms
Joint Capability Areas:
JCA_1.4_Force Support; JCA_1.4.1_Force Health Protection; JCA_5_Command and Control; JCA_5.3_Planning; JCA_7.2_Mitigate; JCA_7_Protection; JCA_6.4.1_Secure Information Exchange; JCA_7.2.1_Mitigate Lethal Effects; JCA_5.3.2_Apply Situational Understanding; JCA_6_Net Centric; JCA_4.6.1_General Engineering; JCA_4.6_Engineering; JCA_6.4_Information Assurance; JCA_1_Force Support; JCA_1.2_Force Preparation; JCA_1.2.1_Training; JCA_6.1.2_Wireless Transmission; JCA_6.1.3_Switching and Routing; JCA_8_Building Partnerships; JCA_6.1_Information Transport; JCA_8.2_Shape
Communities of Interest:
Biomedical
Descriptor(s):
*HEALTH CARE FACILITIES, *EMERGENCY MEDICINE, AUTOMATION, THESES, BIVARIATE ANALYSIS, TRIAGE, NURSES, PATIENTS, CORRELATION TECHNIQUES
Field(s)/Group(s):
Medical Facilities, Equipment and Supplies, Military Forces and Organizations
Keyword(s):
*ED(EMERGENCY DEPARTMENT), ADMISSION, WAIT TIME, CROWDING, FAST TRACK, THROUGHPUT
Report Date:
2006 Apr 12
Creation Date:
2007 Nov 14