Innovations in Emergency Nursing: Transforming Emergency Care Through a Novel Nurse-Driven ED Telehealth Express Care Service.

Publication Type Academic Article
Authors McHugh C, Krinsky R, Sharma R
Journal J Emerg Nurs
Volume 44
Issue 5
Pagination 472-477
Date Published 04/07/2018
ISSN 1527-2966
Keywords Emergency Nursing, Emergency Service, Hospital, Organizational Innovation, Telemedicine
Abstract PROBLEM: Emergency department overcrowding and acuity are significant challenges to patients and staff. Low-acuity patients have extended wait times, and decreased satisfaction can have a negative effect on patient flow. METHODS: A multidisciplinary ED team developed and launched the first ED-based Telehealth Express Care Service, where patients who present to the emergency department with minor complaints are offered a "virtual visit" with a board-certified emergency physician located remotely. RESULTS: More than 6 months into the program, more than 1,300 patients have been treated. These patients experienced decreased length of stay (2.5 hours to 38 minutes) and increased satisfaction. The program is very well received by staff members who appreciate its efficiency. DISCUSSION: Telehealth has the potential to optimize ED efficiency, increase patient satisfaction, and promote safe, high-quality provision of care.
DOI 10.1016/j.jen.2018.03.001
PubMed ID 29631785
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