id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-010477-g754gjvh	Carney, Kevin P.	A Front-end Redesign With Implementation of a Novel “Intake” System to Improve Patient Flow in a Pediatric Emergency Department	2020-02-27		.txt	text/plain	3735	210	52	Key process elements included (1) new Flow Nurse/EMT roles, (2) elimination of traditional registration and triage processes, (3) immediate "quick registration" and nurse assessment upon walk-in, (4) direct-bedding of patients, and (5) a novel "Intake" system staffed by a pediatric emergency medicine physician. CONCLUSIONS: Using quality improvement and Lean methodology, an inter-professional team decreased door-to-provider times and LWBS rates in a large pediatric ED by redesigning its front-end processes and implementing a novel pediatric emergency medicine-led Intake system. Strategies employed to improve the front-end processes include the abolishment of traditional nurse-led triage, "split-flow" models that create separate patient streams depending on each individual's particular care needs, direct-bedding of patients, and placing providers in triage. Using QI and Lean methodology, an inter-professional team in a large, tertiary-care pediatric ED designed and implemented a novel front-end system and significantly improved patient flow by decreasing door-to-provider times 49% and LWBS rates by over 50%.	./cache/cord-010477-g754gjvh.txt	./txt/cord-010477-g754gjvh.txt