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Development and Implementation of a Novel Emergency Department-Based Procedure Team for Inpatient Hospital

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  • 1Department of Emergency Medicine, Northwell, Staten Island, New York.

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|February 4, 2025
PubMed
Summary

An emergency department (ED) procedure team was developed for inpatient care, successfully completing 525 procedures. This initiative improved provider skills, training, and financial outcomes, highlighting the value of ED expertise in inpatient settings.

Keywords:
EmergencyProceduresResident educationTeams

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Area of Science:

  • Emergency Medicine
  • Inpatient Procedures
  • Healthcare Operations

Background:

  • Emergency medicine (EM) requires broad procedural skill proficiency for physicians.
  • A gap exists in literature regarding EM expertise integration into inpatient procedure teams.

Purpose of the Study:

  • To outline the development and implementation of a novel ED-based procedure team for inpatient care.
  • To address the need for skilled proceduralists in inpatient settings.

Main Methods:

  • Retrospective study from June 2022 to December 2023.
  • Development and implementation of an ED-based procedure team.
  • Focus on central lines, arterial lines, and dialysis catheters with safety guidelines.

Main Results:

  • 525 procedures completed, averaging 27.3 per month.
  • Midline insertions and paracentesis were most frequent.
  • Positive financial trends with $98 reimbursement per case and stabilized provider hours.

Conclusions:

  • The ED Procedure team effectively provides essential bedside procedures.
  • Demonstrated improvements in provider proficiency, resident training, and revenue.
  • Interdepartmental collaboration ensured timely procedure completion.