The Effects of Implementing a “Waterfall” Emergency Physician Attending Schedule

This study evaluates the impact of implementing the waterfall model of physician staffing on door-to-doctor time (DDOC), door-to-disposition time (DDIS), left without being seen (LWBS) rate, elopement rate, and the number of patient sign-outs. We examined 9,082 pre-intervention ED visits and 8,983 post-intervention ED visits. Results: The change in DDOC, LWBS rate, and elopement rate demonstrated statistically significant improvement from a mean of 65.1 to 35 minutes (P<0.001), 1.12% to 0.92% (P = 0.004), and 3.96% to 1.95% (P<0.001), respectively. The change in...
Source: Western Journal of Emergency Medicine - Category: Emergency Medicine Source Type: research