J Clin Outcomes Manage
Attempts to lower the rate of patients that leave the Emergency Department without being seen
Cortez E, Moseley M, Baylor C, Cudnik MT, Inama M, Napier L, Caterino J
Abstract Objective: To determine if 2 interventions introduced in an emergency department reduced the rate of patients who leave without being seen (LWBS). Methods: Retrospective chart review before and after implementation of a clinical greeter and a Monday intake shift. Results: The LWBS rate before implementation of the clinical greeter was 5.4% (95% confidence interval [CI], 5.0–5.6) and after implementation was 5.3% (95% CI, 5.0–5.6) (P = 0.91). Total patient volumes before and after implementation were 22,198 and 23,180, respectively. The LWBS rate during the intake shift implementation was 2.8% (95% CI, 2.4–3.5%) and after cessation was 3.6% (95% CI 3.0–4.3%) (P = 0.05). Total patient volumes on Mondays during implementation and after cessation were 3981 and 3438, respectively. Conclusion: While the implementation of a clinical greeter function did not impact the LWBS rate, a Monday intake shift decreased the LWBS rate despite a higher daily volume.
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