Related Experiment Video
Updated: Apr 2, 2026
06:59
A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
31.6K
Planning for predictable emergency admissions to improve patient access and flow
Airton Leonardo de Oliveira Manoel1, Kathryn Chalklin2, Elizabeth Butorac3
1Trauma Intensive Care Unit, Hamad General Hospital, Hamad Medical Corporation - Doha, Qatar.
Critical Care Science
|April 1, 2026
Summary
Implementing new inpatient flow processes significantly reduced overnight transfers by over 50% and decreased Emergency Department length of stay by 25%. This improved hospital throughput and reduced surgical delays.
Area of Science:
- Healthcare Management
- Quality Improvement Science
- Hospital Operations
Background:
- Inefficient inpatient flow leads to increased length of stay and operational bottlenecks.
- Overnight transfers and Emergency Department (ED) delays negatively impact patient experience and hospital efficiency.
- Limited intensive care unit (ICU) capacity can cause surgical cancellations.
Purpose of the Study:
- To implement and evaluate a novel inpatient flow process.
- To reduce overnight patient transfers and ED length of stay.
- To enhance overall hospital throughput and align ICU capacity with demand.
Main Methods:
- A two-phase quality improvement initiative using the DMAIC framework.
- Phase 1: Introduced 'flow beds' to minimize overnight transfers.
- Phase 2: Implemented early morning ICU discharges to optimize bed allocation.
Main Results:
- Flow beds reduced overnight transfers by over 50%.
- ED length of stay and decision-to-admit times improved significantly (p < 0.05).
- Total inpatient length of stay decreased by 11%, and ICU-related surgical cancellations were eliminated.
Conclusions:
- Proactive inpatient flow strategies improve ED and inpatient metrics.
- Demand-capacity alignment enhances hospital throughput.
- Optimized ICU discharge processes reduce surgical delays.
More Related Videos
Related Concept Videos
01:21Planning Nursing Care I
6.4K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
6.4K
01:17Flow Sheet
3.1K
Flowsheets are valuable tools in nursing documentation. They enable healthcare professionals to efficiently record and monitor various patient assessments and measurements in a consolidated format.
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
3.1K
01:15Methods of Documentation VI: Case Management Model
1.0K
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
1.0K
01:29Planning Nursing Care II
4.2K
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
4.2K
01:30Heart Failure VII: Nursing Interventions
729
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
729
01:28Formats for Nursing Documentation
2.2K
Nursing documentation encompasses various formats designed to capture precise patient data, facilitate communication among healthcare team members, and ensure comprehensive and accurate patient records. Let's explore each of these formats in detail:
Nursing Assessment Form:
• A nursing assessment form is a foundational document that captures detailed patient data from physical assessments and nursing histories.
• It includes patient demographics, medical history,...
Nursing Assessment Form:
• A nursing assessment form is a foundational document that captures detailed patient data from physical assessments and nursing histories.
• It includes patient demographics, medical history,...
2.2K