Reduction of Waiting Times and Patients Leaving Without Being Seen in the Tertiary Pediatric Emergency Department
Luca Adriani, Immacolata Dall'Oglio, Carla Brusco, Orsola Gawronski, Simone Piga, Antonino Reale, Ersilia Buonomo, Gennaro Cerone, Leonardo Palombi, Massimiliano Raponi
Abstract
OBJECTIVES: Analyze the effectiveness of an intervention to reduce waiting time and patients leaving without being seen in the pediatric emergency department. METHODS: A comparative observational study was carried out from November 2018 to April 2019.Patients aged 3 months to 17 years were included. The new organizational model consisted of a dedicated outpatients' clinic for nonurgent codes and a fast track for traumatic and surgical emergency cases. RESULTS: The comparative group included 14,822, and the intervention group included 15,585 patients. The new organizational model significantly reduced the numbers of patients who left the ED without being seen from 12.9% to 5.9%. CONCLUSIONS: This new organizational model in the pediatric emergency department could be successfully used to reduce overcrowding, waiting time, and the numbers of patients leaving without being seen. However, more needs to be done by the pediatric services in the community to reduce nonurgent accesses to the emergency department.