Crowded waiting rooms and long waits cause ED patients to leave the ED before being seen by a physician. Research has shown that some of the patients who leave have a serious medical problem that often gets worse before they are finally seen. By creating a Fast Track, a streamlined care pathway for low acuity patients, St. Elizabeth-Florence in the Cincinnati Alliance was able to reduce their Left Before Being Seen rate from 2.5% to 1.2% . This represents a 52% improvement!
‘“The beauty of TCAB is that quality becomes practical in the hands of bedside nurses who are given the tools to conduct small tests and change, then adapt, adopt, or abandon those tests until an innovation becomes a new way of doing things,” said Judy Warmuth, RN and Wisconsin Hospital Association vice president of workforce. In the Beloit Daily News in Wisconsin April 23, 2011.