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Related Experiment Video

Updated: Jun 13, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Clinical information system and process redesign improves emergency department efficiency.

Kevin M Baumlin¹, Jason S Shapiro, Corey Weiner

¹Department of Emergency Medicine, Mount Sinai School of Medicine, New York City, USA. kevin.baumlin@mssm.edu

Joint Commission Journal on Quality and Patient Safety

|April 21, 2010

Summary

Implementing an emergency department information system (EDIS) and redesigning workflows significantly reduced patient wait times and improved overall emergency department efficiency. This study highlights the benefits of integrated information systems for patient care.

Related Experiment Videos

Last Updated: Jun 13, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Area of Science:

Healthcare Management
Medical Informatics
Emergency Medicine

Background:

Emergency department (ED) crowding is a critical issue due to increased visits and decreased capacity.
Information systems and process redesign are key strategies to enhance emergency care quality and safety.
Mount Sinai Medical Center implemented workflow redesign before a full Emergency Department Information System (EDIS).

Purpose of the Study:

To evaluate the impact of process redesign and EDIS implementation on ED efficiency.
To analyze changes in patient throughput times pre- and post-intervention.

Main Methods:

Redesigned departmental workflows to streamline patient throughput.
Implemented a fully integrated Emergency Department Information System (EDIS).
Analyzed pre- and post-intervention data on patient flow and turnaround times.

Main Results:

Overall patient length of stay decreased by 1.94 hours (p < .001).
Doctor-to-disposition time reduced by 1.90 hours (p < .001), and door-to-doctor time by 0.54 hours (p < .001).
Significant reductions in turnaround times for CT scans (1.56 hours, p < .001) and lab results (0.59 hours, p = .006) were observed.

Conclusions:

Integrating clinical information and improving workflow via EDIS implementation enhances ED efficiency.
Process redesign and EDIS contribute to decreased patient throughput times.
These improvements lead to better overall emergency care delivery.