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Decreasing Bedding Time for Patients Admitted to the Telemetry Unit

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2022-05
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DNP Project
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Decreasing Bedding Time
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Abstract

Problem: Improving care in the Emergency department (ED) is a goal of Healthy People 2030. One of the objectives of this goal is to reduce wait times in the ED. Increased wait times have been shown to cause poor patient outcomes and avoidable medical errors. Several factors affect ED wait times, one of which is a decrease in patient flow throughout the hospital. A community hospital in Maryland identified an increase in the time from when admission orders were entered for the telemetry unit to when patients were bedded. Purpose: This quality improvement project aimed to implement and evaluate the effectiveness of a Logistics Management Program (LMP) to decrease the time from when an admission order was placed to when an adult patient was admitted to a bed in the telemetry unit from the ED. Method: The QI project was implemented on a 63-bed Telemetry unit in a small community hospital. The unit admitted approximately12 adult patients from the ED each day. The innovation of this project was the implementation of the LMP. It included the already existing electronic bed board and a Nurse coordinator who oversaw admissions from the ED to the Telemetry unit. The outcome monitored was the percentage of patients that were bedded within 90 minutes of the admission order. Results: The percentage of ED patients admitted and transported to telemetry within 30 minutes increased from 17.9 to 36.6 percent. The percentage of ED patients admitted to the telemetry unit within 90 minutes of the written admission order increased from 19.7 to 25.1 percent. Conclusion: During the COVID-19 pandemic, the Logistics Management Program improved the flow of patients from the ED to a telemetry inpatient unit.

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