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Decrease and Smooth Variation:
Establish Emergency Department Protocols for Triage, Tests, and Treatment

Protocols are a set of steps that clinical staff agree to take in the diagnosis and treatment of particular types of patients. Identifying the top 10 patient diagnoses that staff see in the ED and developing protocols for the diagnosis, testing, and treatment of patients with these diagnoses can streamline patient handoff from one step in the treatment process to another. This greatly reduces delays and improves overall patient flow through the ED.


Tips
  • Use established protocols to move patients with the top 10 diagnoses through the steps of the protocol immediately, eliminating the delays that often occur in ordering appropriate tests. For example, move a person with an extremity injury directly to x-ray rather than having them wait to be seen by a physician.
  • Use protocols to determine necessary tests at the outset to reduce unnecessary delays in getting the needed information to a consulting physician.
  • Protocols can also be an effective method for identifying steps in the treatment process that other health care professionals, rather than physicians, can provide.