Carrus, S., Corbett, S., & Khandelwal, D. (2011). “A hospital-wide strategy for fixing emergency-department overcrowding.” McKinsey Quarterly. Retrieved from https://www.mckinseyquarterly.com/Health_Care/A_hospital-wide_strategy_for_fixing_ED_overcrowding_2505.
“Emergency-department (ED) overcrowding is common in countries across the globe. Patients must often wait hours before being seen by a doctor and far longer before being transferred to a hospital bed. The result is not merely inconvenience but rather a degradation of the entire experience—quality of care suffers, patients’ safety is endangered, staff morale is impaired, and the cost of care is increased.”
There are suitable approaches, however, to improving ED wait times. “The problems can be alleviated through the application of “lean” principles borrowed from manufacturing. For example, streamlined triage and registration procedures can minimize the unnecessary administrative work that burdens nurses. Better matching of staff levels with typical patient volumes can prevent patients from being left in the ED because no porters are available to transport them to the wards.”