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Immediate Bedding and Patient Satisfaction in a Pediatric Emergency Department

Robert Flood1, Paula Szwargulski2, Nadeem Qureshi1

  • 1Emergency Department, SSM Health Cardinal Glennon Children's Hospital, Saint Louis, Missouri; Division of Emergency Medicine, Department of Pediatrics, Saint Louis University, Saint Louis, Missouri.

The Journal of Emergency Medicine
|November 19, 2015
PubMed

Insights

Immediate bedding significantly reduced door-to-provider times in a pediatric emergency department, improving patient satisfaction. However, it is not yet a proven best practice for this setting.

Area of Science:

  • Pediatric Emergency Medicine
  • Healthcare Operations Management
  • Patient Flow Optimization

Background:

  • Immediate bedding has demonstrated efficiency gains in general emergency departments (EDs).
  • Limited research exists on immediate bedding's impact within pediatric emergency medicine.

Purpose of the Study:

  • To enhance door-to-provider (DTP) times in a pediatric ED.
  • To improve patient satisfaction scores.
  • To clarify the relationship between patient throughput times and satisfaction.

Main Methods:

  • Implemented an immediate bedding triage process in an urban pediatric Level I trauma center.
  • Compared outcome and balancing measures for 6 months pre- and post-implementation.
  • Analyzed 32 months of data to assess throughput times and patient satisfaction.

Main Results:

  • Median DTP decreased from 44 to 25 minutes (p < 0.001).
  • The percentage of patients with DTP < 30 minutes increased from 31.8% to 58.2% (p < 0.001).
  • Patient satisfaction, measured by likelihood to recommend, improved (89.0 to 92.7, p = 0.03).

Conclusions:

  • Immediate bedding improved front-end efficiency in the pediatric ED.
  • Further research is needed before immediate bedding can be established as a best practice in pediatric emergency medicine.
Abstract

Keywords:
emergency medicineimmediate beddingpatient satisfactionpediatric

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