Landro, L. (2011). ERs move to speed care; Not everyone needs a bed. The Wall Street Journal. Retrieved from http://online.wsj.com/article/SB20001424053111904888304576476242374040506.html?AllowView=VW8xUmo5Q21TcWJOb1gzb0tNN3RLZ0h0MWg5SVgra3NZRzRORzNnYU1lK0lDS2dlYmxxT1RVT28yNU9wNDN3VUw3MmdjMDV2a3h0QnVqekhXS2RtMVgvRDhJUHNBSXppQS90T1d2MVRpdWpyYTZ6bg==
“Hospitals are tackling a dangerous and costly side effect of emergency-room overcrowding and long wait times: the growing number of patients who get fed up and leave without treatment.
To speed patients through the system, emergency rooms are adopting so-called lean-management principles pioneered by such companies as Toyota Motor Corp. to increase efficiency, cut costs and provide better service.
That means streamlining the traditional methods of triage and reserving beds for only the sickest patients, abandoning the longstanding rule that every patient gets a bed. It also means staffing the ER with less-costly providers such as nurse practitioners and physician’s assistants, so more expensive ER doctors can focus on care and not on paperwork, test ordering and discharge plans.”