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JCOM Abstract

J Clin Outcomes Manage 
2013 Apr;20(4):158-161
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], 5.05.6) and after implementation was 5.3% (95% CI, 5.05.6) (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, 2.43.5%) and after cessation was 3.6% (95% CI 3.04.3%) (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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