1. Quality improvement in the era of boarding and burnout: A postpandemic blueprint.
- Author
-
Schwartz, Hope, Huen, William, Kanzaria, Hemal, and Peabody, Christopher
- Subjects
COVID‐19 ,burnout ,operations ,quality ,triage ,wait times - Abstract
The COVID-19 pandemic led to unprecedented challenges to healthcare quality in the emergency department, including directly impacting quality metrics and worsening barriers to the quality improvement process such as burnout, staff turnover, and boarding. We aimed to develop a blueprint for postpandemic quality improvement to address these specific barriers, focused on prioritizing frontline staff engagement from idea generation to implementation and assessment. Drawing from teamwork literature, we constructed a process that emphasized egalitarian conversations, psychological safety, and creating an environment where staff could feel heard at every step of the process. We applied this blueprint to improving rates of patients who leave without being seen and achieved a four percentage point reduction (9% vs. 5%, p
- Published
- 2024