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9 lessons for optimal low-risk patient throughput
Manage CV patients in the ED
The five lessons below detail how to develop principled direct discharge pathways, and create protocols for optimization observation utilization.
1. Identify patients for home discharge (p. 14)
2. Assuage physician concerns (p. 16)
3. Triage to clinics (p.17)
4. Provide decision support for chest pain testing (p. 21)
5. Standardize protocols for complex patients (p. 23)
Supporting resources: Use The HEART Pathway and AF Care Pathways: Society of Cardiovascular Patient Care, as well as these resources from our profiled organizations for further guidance on managing CV patients in the ED: AF Triage Protocol: Baptist Health Lexington and Stress Test Guidelines for Observation Chest Pain Patients: Emory Healthcare.
Streamline observation care operations
The four lessons below break down what CV programs can do to
ensure that observation
services—whether provided in a
dedicated unit or via "virtual"
observation units—are efficient
and yield benefits for patients as
well as the CV service line.
6. Hardwire responsibility for observation patients (p. 31)
7. Ensure timely rounding (p. 32)
8. Exercise principled management of observation unit resources (p. 34)
9. Measure observation unit performance (p. 36)
Supporting resources: See how Emory Healthcare designed Clinical Decision Unit Protocols for the following: Patient Care Flow Map, Rounding Principles, Rounding Schedule, "Holding" Principles, Staffing Guidelines, and Quality Assurance and Utilization Review.
Special report: Virtual observation units
This report delves into
the challenges associated with
virtual units, where it is inherently difficult to keep track of patients and hold staff accountable for patient management. When considering
how to best streamline
observation care operations, it is
important to address the
these inefficiencies. Read more on p. 39.
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