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Effect of emergency department fast track on emergency department length of stay : a case-control study

Considine, Julie, Kropman, M., Kelly, E. and Winter, C. 2008, Effect of emergency department fast track on emergency department length of stay : a case-control study, Emergency medicine journal, vol. 25, no. 12, pp. 815-819, doi: 10.1136/emj.2008.057919.

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Title Effect of emergency department fast track on emergency department length of stay : a case-control study
Author(s) Considine, JulieORCID iD for Considine, Julie orcid.org/0000-0003-3801-2456
Kropman, M.
Kelly, E.
Winter, C.
Journal name Emergency medicine journal
Volume number 25
Issue number 12
Start page 815
End page 819
Total pages 5
Publisher BMJ Group
Place of publication London, England
Publication date 2008-12
ISSN 1472-0205
1472-0213
Summary Objective: To examine the effect of fast track on emergency department (ED) length of stay (LOS).

Design and setting: Pair-matched case–control design in a public teaching hospital in metropolitan Melbourne, Australia.

Participants: Patients treated by the ED fast track (cases) between 1 January and 31 March 2007 were compared with patients treated by the usual ED processes (controls) from 1 July to 15 November 2006 (n = 822 matched pairs).

Intervention: ED fast track was established in November 2006 and focused on the management of patients with non-urgent complaints.

Main outcome measures: The primary outcome measure was ED LOS for fast-track patients. Secondary outcomes were waiting times and ED LOS for other ED patients.

Results: Median ED LOS for non-admitted patients was 132 minutes (interquartile range (IQR) 83–205.25) for controls and 116 minutes (IQR 75.5–159.0) for cases (p<0.01). Fast-track patients had a significantly higher incidence of discharge within 2 h (53% vs 44%, p<0.01) and 4 h (92% vs 84%, p<0.01).

Conclusions: ED fast track decreased ED LOS for non-admitted patients without compromising waiting times and ED LOS for other ED patients
Notes The original publication may be found at www.bmj.com
Language eng
DOI 10.1136/emj.2008.057919
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2008, BMJ Publishing Group
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30017427

Document type: Journal Article
Collections: School of Nursing and Midwifery
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.