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Study - Purpose and ED Timeline Study Setup","","A real-time Emergency Department (ED) timeline study designed to reveal where key delays occur and how long they last across the patient journey, including elements that work well. The approach supports reducing delays by focusing on models of care and streamlining processes at each ED step, capturing behavioural and cultural factors that retrospective data analysis cannot show. 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Study  \nPurpose  \nThis study has been designed to help you observe in real time where and how long the key delays are across the patient journey through the Emergency Department (ED) as well as identifying aspects of the journey that function well. Reducing delays to patients requires attention to models of care and streamlining processes at each step of the ED patient journey. The study provides a unique opportunity to observe the behavioural and cultural aspects of flow that contribute to delays for patients – information that would never be obtained by retrospectively analysing data.  \nThe study also provides a change management opportunity for all stakeholders who participate in the ED patient’s care, to observe how patients flow through the ED and the delays they experience. It is recommended that ward staff, inpatient teams, bed management and the executive spend some time participating in the data collection as observers.  \nStudy description and considerations  \nBest results are achieved by a continuous 48 hour collection, over the busiest days of the week. Most sites have completed the study on a consecutive Sunday and Monday as this allows for observation during the variation in process of weekends, weekdays and after hours.  \nTemplate 1 Who owns the timeline , is the manual data collection tool used in the study and lists the time stamps to collect. Some changes can be made to tailor the collection to the logistics of your ED and bed management processes; however these should be kept to a minimum (our experience with this is that too many changes just make the collection unnecessarily complicated) . Points to consider might be which tests you want to capture e.g. you may only want to focus on radiology if you are satisfied that pathology functions well, or focus on one type of radiology such as CT. The template can be modified to match you areas of focus.  \nIn order to maintain data integrity, it is imperative to ensure the date and time stamps are correct. Focus efforts on collecting the data points that are highlighted in bold on template 1. An excel spreadsheet (template 2), is provided for data entry following the end of the study period. The data is then analysed and dropped into a presentation to share the findings with the clinicians and managers who contribute to the emergency patient journey. This information will assist in identifying the root causes for the delays and the solutions required for reducing the delays.  \nTo complete the timeline study, you will need staff to assist with the data collection (numbers will depend on size of department and patient presentations) and a data entry person to review  \nthe data and complete the excel spreadsheet. By taking the time to ensure the data is accurate; the analysis of the data is then relatively simple. Ensure that as many patients as possible are captured within the 48 hour collection period and focus on observing the timepoints rather than replicating the timepoints in FirstNet.  \nEnsure that observers are encouraged to write comments on issues with process on each sheet as they observe it as this provides rich information to explain the quantitative data collected. These comments usually cover the behavioural and cultural aspects that contribute to why we do things the way we do and are a valuable part of solution design. For each patient journey the observer should identify all steps where delays occur.  \nStudy set up  \n1. Engage with the ED and identify a study owner or champion from within the senior ED team. Advise the senior ED team to communicate widely with the ED staff the intention and purpose of the data collection, the dates that this will be undertaken and seek volunteers to participate. This should include patient flow/bed managers, executive and ward NUMs.  \n2. Hint Staff who are engaged in the observation process are more inclined to participate in the outcome.  \n3. Identify the 48 hour period that is the busiest for ","cbCaiu35BuSKtjuR","https://ap.wps.com/l/cbCaiu35BuSKtjuR","pdf",309129,"English","# Purpose\n## Study description and considerations\n## Study set up\n## Resources needed\n## On the day","[{\"question\":\"What is the purpose of the ED timeline study?\",\"answer\":\"The study helps observe where and how long key delays occur across the ED patient journey and identify aspects that function well, supporting efforts to reduce delays through improved care models and process streamlining.\"},{\"question\":\"How is data collection scheduled for best results?\",\"answer\":\"Best results use a continuous 48-hour collection during the busiest days, often a consecutive Sunday and Monday to capture variation across weekends, weekdays, and after-hours.\"},{\"question\":\"What tools and responsibilities are required to run the study?\",\"answer\":\"The manual data collection tool (Template 1) and an Excel spreadsheet (Template 2) are used for entry after data collection. Staff are needed for observing and collecting data, plus a dedicated data entry person to complete the spreadsheet and support analysis and sharing findings.\"}]","Who Owns the Timeline? Study - Purpose and ED Timeline Study Setup | PDF",1789204465]