Institute for Healthcare Improvement: Be a Bed Ahead: Pull Patients from ED to Inpatient Unit

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Use Pull Systems:

Be a Bed Ahead: Pull Patients from ED to Inpatient Unit

The Be-a-Bed-Ahead system addresses the delay in moving patients from one point of care to the next, for example, from the emergency department (ED) to the inpatient unit. Under the system, inpatient units anticipate demand (by measuring demand over time) and have a bed ready into which a patient can be moved (“pulled” rather than “pushed”) as soon as the demand occurs.

Examples of Tests of this Change

York Health System (York, Pennsylvania, USA) reduced the time it took to transfer ED patients to inpatient beds from 66 minutes to 30 minutes, more than a 50 percent decrease.



Use Pull Systems Measures Tools

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