Medicine and Health Sciences Commons^™

Use Of The Institute For Healthcare Improvement’S (Ihi) Real Time Demand Capacity (Rtdc) Model To Promote Organizational Values And Optimize Patient Flow, Paris B. Lovett

Paris B Lovett, MD, MBA, FACEP, FACHE

Deployment of the RTDC model together with opening our PFMC and implementing ED process improvement initiatives resulted in a 70% reduction in ED boarding hours, a 50% reduction in blocked beds, and the virtual elimination of ED diversion. Although unquantifiable, initiating the RTDC model helped strengthen the multidisciplinary team now responsible for patient flow and aligned their work with our organizational values.

Pain Scores Show No Monotonic Upwards Or Downwards Trend Over Nine Years At A Single Institution, Paris B. Lovett

Paris B Lovett, MD, MBA, FACEP, FACHE

Pain Scores Show No Monotonic Upwards or Downwards Trend Over Nine Years at a Single Institution

Lovett PB, Jerusik BC, Bernard SL, Mathew RG, Randolph FT

Thomas Jefferson University Hospitals, Philadelphia, PA

Background: Self-reported pain scales are commonly used in emergency department (EDs). The 11-point (0 to 10) Numerical Rating Scale (NRS) is a commonly used scale for adults visiting EDs in the US. Despite their widespread use little is known about whether distribution of pain scores has remained consistent over time.

Study Objectives: To describe changes in the distribution of NRS pain scores over time at one hospital.

Methods: …

Self-Collection Of Stool: An Alternative To Digital Rectal Examination For Fecal Occult Blood Testing In The Emergency Department, Paris B. Lovett

Paris B Lovett, MD, MBA, FACEP, FACHE

Study Objectives: Our objective was to evaluate a new technique for collection of stool for fecal occult blood testing (FOBT) in the emergency department (ED). We sought to compare the new approach, Self-Collection of Stool (SCS), against the traditional Digital Rectal Examination (DRE).

Methods: Patients were eligible for enrollment if they required stool sampling for FOBT, as judged by their physician. We excluded patients who required DRE for reasons other than stool collection: those requiring assessment of prostatic or rectal anatomy, rectal tone or sensation. Subjects were enrolled on a convenience basis and randomized to SCS or DRE. Blinded data …