ED Manag. 2010 Jan;22(1):3-5.
With changes in place only about six months, Cincinnati Children's Hospital Medical Center, compared the May-July period door-to-doc times and found they had dropped from 61 minutes in 2008 to 45 minutes in 2009. The ED manager interfaces with the hospital's director of patient flow, and they have initiated new processes inside and outside the department: Nurses have been placed at the ED entrance to take a "quick look" at patients. Handoffs are handled via fax, so ED nurses no longer have to track down their inpatient counterparts for a telephone conversation. Mathematical formulas have been created to predict admissions and discharges.
辛辛那提儿童医院医疗中心实施这些变革仅约六个月后，比较了5月至7月期间从挂号到见到医生的时间，发现这一时间段从2008年的61分钟降至2009年的45分钟。急诊科经理与医院患者流动主管进行沟通，他们在科室内外启动了新流程：在急诊科入口安排护士对患者进行“快速检查”。通过传真进行交接，这样急诊科护士就无需再为了电话沟通而去寻找住院部的同事。已经创建了数学公式来预测入院和出院情况。
