10779/rcsi.10780973.v1 Subashnie Devkaran Subashnie Devkaran Howard Parsons Howard Parsons Murray Van Dyke Murray Van Dyke Jonathan Drennan Jonathan Drennan Jaishen Rajah Jaishen Rajah The impact of a fast track area on quality and effectiveness outcomes: a Middle Eastern emergency department perspective. Royal College of Surgeons in Ireland 2019 emergency department middle east Educational Administration, Management and Leadership 2019-11-22 16:12:35 Journal contribution https://repository.rcsi.com/articles/journal_contribution/The_impact_of_a_fast_track_area_on_quality_and_effectiveness_outcomes_a_Middle_Eastern_emergency_department_perspective_/10780973 <p>BACKGROUND: Emergency department (ED) overcrowding is a ubiquitous problem with serious public health implications. The fast track area is a novel method which aims to reduce waiting time, patient dissatisfaction and morbidity. |The study objective was to determine the impact of a fast track area (FTA) on both effectiveness measures (i.e. waiting times [WT] and length of stay [LOS]) and quality measures (i.e. LWBS rates and mortality rates) in non-urgent patients. The secondary objective was to assess if a FTA negatively impacted on urgent patients entering the ED. METHODS: The study took place in a 500 bed, urban, tertiary care hospital in Abu Dhabi, United Arab Emirates. This was a quasi-experimental, which examined the impact of a FTA on a pre-intervention control group (January 2005) (n = 4,779) versus a post-intervention study group (January 2006) (n = 5,706). RESULTS: Mean WTs of Canadian Triage Acuity Scale (CTAS) 4 patients decreased by 22 min (95% CI 21 min to 24 min, P < 0.001). Similarly, mean WTs of CTAS 5 patients decreased by 28 min (95% CI 19 min to 37 min, P < 0.001) post FTA. The mean WTs of urgent patients (CTAS 2/3) were also significantly reduced after the FTA was opened (P < 0.001). The LWBS rate was reduced from 4.7% to 0.7% (95% CI 3.37 to 4.64; P < 0.001). Opening a FTA had no significant impact on mortality rates (P = 0.88). CONCLUSION: The FTA improved ED effectiveness (WTs and LOS) and quality measures (LWBS rates) whereas mortality rate remained unchanged.</p>