Document Type
Article
Publication Date
7-7-2014
Publication Title
BioMed Central Health Services Research
Department
Geisel School of Medicine
Abstract
In recent years, lean principles have been applied to improve wait times in the emergency department (ED). In 2009, an ED process improvement program based on lean methods was introduced in Ontario as part of a broad strategy to reduce ED length of stay and improve patient flow. This study seeks to determine the effect of this program on ED wait times and quality of care. We conducted a retrospective cohort study of all ED visits at program and control sites during 3 program waves from April 1, 2007, to June 30, 2011, in Ontario, Canada. Time series analyses of outcomes before and after the program and difference-in-differences analyses comparing changes in program sites with control sites were conducted.
DOI
10.1016/j.annemergmed.2014.06.007
Dartmouth Digital Commons Citation
Vermeulen, Marian J.; Stukel, Therese A.; Guttmann, Astrid; and Rowe, Brian H., "Evaluation of an Emergency Department Lean Process Improvement Program to Reduce Length of Stay" (2014). Dartmouth Scholarship. 615.
https://digitalcommons.dartmouth.edu/facoa/615
Included in
Emergency Medicine Commons, Health Services Administration Commons, Health Services Research Commons
