ED Manag. 2011 Jul;23(7):78-80.
With a poor safety record and long waits for care, the ED at St. Vincent's Medical Center in Bridgeport, CT, launched a comprehensive improvement effort that has slashed door-to-doctor times, drastically improved patient satisfaction, and reduced serious safety events to zero during the past year. Key to the approach is a team-based operations system that makes care teams responsible for specific zones in the ED. Patient satisfaction has gone from the single digits to above 90% in almost all areas, but high satisfaction is now harder to sustain because of elevated patient expectations. Door-to-doctor times have been reduced from 126 minutes to less than 25 minutes. Team approach to care improves clinician satisfaction while reducing errors. A streamlined triage system has eliminated several steps for low-acuity patients.
由于安全记录不佳且患者等待治疗时间长，康涅狄格州布里奇波特市圣文森特医疗中心的急诊科开展了一项全面改进工作，在过去一年里大幅缩短了从进门到看医生的时间，显著提高了患者满意度，并将严重安全事件降至零。该方法的关键是一个基于团队的运营系统，该系统让护理团队负责急诊科的特定区域。几乎在所有领域，患者满意度都从个位数跃升至90%以上，但由于患者期望提高，如今要维持高满意度变得更加困难。从进门到看医生的时间已从126分钟减少到不到25分钟。团队护理方法提高了临床医生的满意度，同时减少了错误。一个简化的分诊系统减少了低急症患者的几个流程。
