ArticleBMJ open2019
Impact of the implementation of a fast-track on emergency department length of stay and quality of care indicators in the Champagne-Ardenne region: a before-after study.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Interventions to reduce emergency department overcrowding and their effects on patient outcomes: a mixed-methods systematic review and meta-analysis.BMC emergency medicine · 2026Pooled it
- A data-driven digital twin of emergency department flow to quantify congestion dynamics and test operational resilience.Internal and emergency medicine · 2026Article
- IMPACT: Integrated Model For Patient Acuity, Care, And Triage Efficiency In Emergency Department.Journal of medical systems · 2026Article
- Article
- Safety and Effectiveness of Fast-Track Systems in Pediatric Urgent Care Units: A Systematic Review.Cureus · 2026Review
- Factors Associated with Length of Stay Among Patients in the Emergency Department of an Indonesian Tertiary Hospital: A Cross-Sectional Study.Journal of multidisciplinary healthcare · 2026Article
- Effectiveness of a structured triage system in improving timeliness of emergency care in a resource-limited rural hospital in Uganda.International journal of emergency medicine · 2025Article
- Shortening emergency department length of stay: Fast track, short-stay unit and acute medical unit.Exploratory research in clinical and social pharmacy · 2025Review
- Redirection of low-acuity emergency department patients to nearby medical clinics using an electronic medical support system: effects on emergency department performance indicators.BMC emergency medicine · 2024Observational
- The Effect of a Separate Flow of Patients With Small Traumatic Injuries on Consult Time and Patient Satisfaction: A Retrospective Cohort Study During COVID-19 in the Emergency Department.Journal of acute medicine · 2024Article
- Review
- Development of a Hospital-Stakeholder Collaboration Tool Using Mixed Methods to Assess Stakeholder Perspectives for Hospital Service Improvement.Ethiopian journal of health sciences · 2023Article
- Primary care access to radiology: Characteristics of trauma patients referred to the emergency department.Journal of evaluation in clinical practice · 2023Observational
- Reducing Crowding in Emergency Departments With Early Prediction of Hospital Admission of Adult Patients Using Biomarkers Collected at Triage: Retrospective Cohort Study.JMIR bioinformatics and biotechnology · 2022Article
- Machine learning-based triage to identify low-severity patients with a short discharge length of stay in emergency department.BMC emergency medicine · 2022Article
- Safety assessment of a redirection program using an electronic application for low-acuity patients visiting an emergency department.BMC emergency medicine · 2022Observational
- Multimorbidity clustering of the emergency department patient flow: Impact analysis of new unscheduled care clinics.PloS one · 2022Article
- Clinical Effect of Nursing Based on the Kano Model in Emergency Multiple Injuries.Evidence-based complementary and alternative medicine : eCAM · 2022Article
- Dynamics of the Third Wave of COVID-19 from the Perspective of the Emergency Department in a Large Regional Hospital-Single Center Observational Study.Healthcare (Basel, Switzerland) · 2021Article
- Prediction of hospitalization using artificial intelligence for urgent patients in the emergency department.Scientific reports · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesWe aimed to evaluate the effect of the implementation of a fast-track on emergency department (ED) length of stay (LOS) and quality of care indicators.
designAdjusted before-after analysis.
settingA large hospital in the Champagne-Ardenne region, France.
participantsPatients admitted to the ED between 13 January 2015 and 13 January 2017.
interventionImplementation of a fast-track for patients with small injuries or benign medical conditions (13 January 2016). PRIMARY AND SECONDARY OUTCOME MEASURES: Proportion of patients with LOS ≥4 hours and proportion of access block situations (when patients cannot access an appropriate hospital bed within 8 hours). 7-day readmissions and 30-day readmissions.
resultsThe ED of the intervention hospital registered 53 768 stays in 2016 and 57 965 in 2017 (+7.8%). In the intervention hospital, the median LOS was 215 min before the intervention and 186 min after the intervention. The exponentiated before-after estimator for ED LOS ≥4 hours was 0.79; 95% CI 0.77 to 0.81. The exponentiated before-after estimator for access block was 1.19; 95% CI 1.13 to 1.25. There was an increase in the proportion of 30 day readmissions in the intervention hospital (from 11.4% to 12.3%). After the intervention, the proportion of patients leaving without being seen by a physician decreased from 10.0% to 5.4%.
conclusionsThe implementation of a fast-track was associated with a decrease in stays lasting ≥4 hours without a decrease in access block. Further studies are needed to evaluate the causes of variability in ED LOS and their connections to quality of care indicators.
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