A Guide for Hospitals
This guide presents step-by-step instructions that can be used by hospitals in planning and implementing patient flow improvement strategies to ease emergency department crowding.
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By Megan McHugh, PhD, Kevin Van Dyke, MPP, Mark McClelland, MN, RN, Dina Moss, MPA.
Section 1. The Need to Address Emergency Department Crowding
Section 2. Forming a Patient Flow Team
Section 3. Measuring Emergency Department Performance
Section 4. Identifying Strategies
Section 5. Preparing to Launch
Section 6. Facilitating Change and Anticipating Challenges
Section 7. Sharing Results
Appendix A: Guide to Online Resources Successfully Used by Hospitals to Improve
Appendix B: Implementation Plan Template
Appendix C: Example Implementation Plan
Appendix D: Additional Readings
This document is in the public domain and may be used and reprinted without permission.
The opinions presented in this report are those of the authors, who are responsible for its content, and do not necessarily reflect the position of the U.S. Department of Health and Human Services or the Agency for Healthcare Research and Quality.
AHRQ Publication No. 11(12)-0094
Current as of October 2011
McHugh, M., Van Dyke, K., McClelland M., Moss D. Improving Patient Flow and Reducing Emergency
Department Crowding: A Guide for Hospitals. (Prepared by the Health Research & Educational Trust, an
affiliate of the American Hospital Association, under contract 290-200-600022, Task Order No. 6). AHRQ Publication No. 11(12)-0094, October 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/qual/ptflow/