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Related Concept Videos

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Methods of Documentation VI: Case Management Model

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.
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SBAR II: Application of SBAR

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SBAR Report from a Nurse to a Health Care Provider
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Methods of Documentation III: PIE

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Methods of Documentation IV: Focus Charting01:26

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Aneurysm III: Interprofessional Care

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Related Experiment Video

Updated: Jun 19, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

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

Published on: January 15, 2017

Optimizing a Level 1 Trauma Pediatric Emergency Department Tracking Board-A Quality Improvement Initiative.

Alejandro Pasaret1, Nina Mbadiwe1, Daniel Bickley2

  • 1Department of Pediatrics, University of Chicago.

Pediatric Emergency Care
|June 17, 2026
PubMed
Summary
This summary is machine-generated.

Optimizing emergency department (ED) tracking boards significantly improved patient flow by reducing wait times and left without being seen rates. This low-cost intervention enhances overall ED operational efficiency.

Keywords:
door to docemergency department metricsleft without being seenmetricsoptimizationquality improvementroom to docthroughputtrackboardtracking board

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Setup and Execution Of the Blindfolded Code Training Exercise
05:25

Setup and Execution Of the Blindfolded Code Training Exercise

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Related Experiment Videos

Last Updated: Jun 19, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
09:52

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

Published on: January 15, 2017

Setup and Execution Of the Blindfolded Code Training Exercise
05:25

Setup and Execution Of the Blindfolded Code Training Exercise

Published on: March 29, 2019

Area of Science:

  • Emergency Medicine
  • Healthcare Operations Research
  • Health Informatics

Background:

  • Efficient patient flow is critical for emergency department (ED) operations.
  • Current electronic tracking boards often display nonessential data, hindering optimal performance.
  • The study aimed to assess the impact of an optimized tracking board on throughput in a pediatric ED.

Purpose of the Study:

  • To evaluate if optimizing an ED tracking board design improves patient throughput metrics.
  • To identify specific improvements in key performance indicators following tracking board redesign.

Main Methods:

  • The ED tracking board was redesigned by removing non-pertinent columns and adding vital signs, bed status, floor orders, and unassigned patients.
  • Primary outcomes included door-to-doc, room-to-doc, doc-to-disposition, and bed-to-admit times, compared pre- and post-intervention.
  • Analyses were stratified by provider type and adjusted for ED volume, patient acuity, provider coverage, and month.

Main Results:

  • Left without being seen (LWBS) rates decreased significantly from 13.9% to 6.9% (P<0.001).
  • Mean door-to-doc time decreased from 82.9 to 59.1 minutes, and room-to-doc time decreased from 9.8 to 7.2 minutes (P<0.001).
  • Total ED length of stay (LOS) reduced from 318.9 to 296.5 minutes (P<0.001), with improvements persisting after adjustment.

Conclusions:

  • Optimizing the ED tracking board design led to significant reductions in door-to-doc time, room-to-doc time, LWBS rates, and total ED LOS.
  • These improvements were observed across all provider types and remained significant after adjusting for confounding factors.
  • Tracking board optimization is a broadly applicable, low-cost strategy for enhancing ED throughput.