Appendix A. Guide to Online Resources Successfully Used by Hospitals to Improve Patient Flow
- The Urgent Matters Toolkit
This toolkit includes over 50 examples of proven strategies to reduce emergency department (ED) crowding and improve
patient flow. Each example includes the strategy, result, hospital demographics, type of staff
involved, clinical areas affected, timeline, implementation experience, lessons learned, and
cost/benefit estimate. Available at http://urgentmatters.org/toolkit.
- American Hospital Association (AHA) Hospitals in Pursuit of Excellence
This Web site includes more than 25 case studies that focus on improvements in ED throughput.
These case studies focus on the problem, solution, results, background, impact on patient flow,
resources expended, sustainability, patient and staff perceptions, and how the strategy meets the
Institute of Medicine's six aims. Available at http://www.hpoe.org/.
- Agency for Healthcare Research and Quality (AHRQ) Innovations Exchange
The Innovations Exchange includes over 75 examples of innovations to improve ED patient flow
and reduce crowding. Each innovation includes the what, how, outcomes, and special
considerations relative to adoption. Available at http://www.innovations.ahrq.gov/.
- Institute for Healthcare Improvement (IHI)
IHI features four ED improvement stories and eight emerging content resources focusing on the
following categories: how to improve, measures, changes, and literature. In addition, its Web site
features several ED patient flow improvement tools, such as an ED hourly patient flow analysis
tool. Available at http://www.ihi.org.
- Emergency Nurses Association (ENA)
ENA's Successful Solutions to Crowding Web site includes eight strategies that led to successful
solutions. The solutions are listed under four major areas: access, throughput, ancillary, and
disposition. Available at http://www.ena.org.
- American College of Emergency Physicians (ACEP)
ACEP's Emergency Medicine Crowding and Boarding resources provide information, resources,
and examples for a variety of approaches to assist emergency physicians in addressing ED
crowding problems by working with hospital administrators, local stakeholders, policymakers, and
the public. The members-only section includes crowding case studies. Available at
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