• Pediatric emergency care · May 2022

    Observational Study

    Reduction of Waiting Times and Patients Leaving Without Being Seen in the Tertiary Pediatric Emergency Department: A Comparative Observational Study.

    • Luca Adriani, Immacolata Dall'Oglio, Carla Brusco, Orsola Gawronski, Simone Piga, Antonino Reale, Ersilia Buonomo, Gennaro Cerone, Leonardo Palombi, and Massimiliano Raponi.
    • Professional Development, Continuing Education and Research Service, Bambino Gesù Children's Hospital, IRCCS.
    • Pediatr Emerg Care. 2022 May 1; 38 (5): 219223219-223.

    ObjectivesAnalyze the effectiveness of an intervention to reduce waiting time and patients leaving without being seen in the pediatric emergency department.MethodsA comparative observational study was carried out from November 2018 to April 2019.Patients aged 3 months to 17 years were included. The new organizational model consisted of a dedicated outpatients' clinic for nonurgent codes and a fast track for traumatic and surgical emergency cases.ResultsThe comparative group included 14,822, and the intervention group included 15,585 patients. The new organizational model significantly reduced the numbers of patients who left the ED without being seen from 12.9% to 5.9%.ConclusionsThis new organizational model in the pediatric emergency department could be successfully used to reduce overcrowding, waiting time, and the numbers of patients leaving without being seen. However, more needs to be done by the pediatric services in the community to reduce nonurgent accesses to the emergency department.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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