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Emergency Department (ED) Throughput

As hospitals and staff are overwhelmed with an influx of patients, overcrowding and long wait times continue to be problematic as hospitals struggle to get patients in and out of the ED. Using creative strategies to design flexibility into the built environment, hospital EDs can optimize operations and improve throughput while continuing to put the patient first. To View a Complete List of Toolbox Contents and Resources, Click Here.

Insights & Solutions

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Webinar
May 2021 Webinar
This webinar highlights the University of Michigan Medical Center’s journey to address this challenge. In 2012, their hospital and ED leadership hypothesized that creating a dedicated unit in the ED for the provision of extended critical care would help meet some of these challenges, which in turn may improve care delivery and patient outcomes. Pre-determined guiding principles were carefully followed throughout the design and build phases. From start to finish, the project utilized key lean facilities design principles including the use of full-scale mock-ups. This led to a finished build that was completed ahead of schedule, under budget and with no significant change orders.    
EBD Journal Club
May 2017 EBD Journal Club

Pati, D., Pati, S., & Harvey Jr, T. E. (2016). Security implications of physical design attributes in the emergency department. HERD: Health Environments Research & Design Journal, 9(4), 50-63.

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Interview
August 2017 Interview
Learn about: Ellis Medicine’s struggle to service a higher ED volume after two local hospitals closed their doors; why the new ED was initially unable to meet the high patient demand; and how a transitional unit, a split-flow model, and other strategic design choices ultimately helped improve ED throughput.
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