Imagine you work as charge nurse of the emergency room and provide feedback foll

Imagine you work as charge nurse of the emergency room and provide feedback following the questions as prompts. (no references needed)
1. Do you believe the proposal would be approved if formally proposed?
2. What are some strengths and weaknesses of the proposal?
“Research indicates that the average wait time in a hospital Emergency Room (ER) is approximately one hour (Morley et al., 2018). On the other hand, the time taken for a patient to be discharged from the ER is more than two hours. These wait times pose potential threats to patients’ health since longer inpatient stays increase ER crowding, which eventually leads to high inpatient mortality rates (Morley et al., 2018). In other words, the longer a patient waits in the ER to receive medical attention, the worse their condition gets. As a result of the patients’ conditions worsening, additional medical resources and treatments are needed. This situation implies additional costs for the patient and the healthcare facility. For instance, the United States government spends billions on emergency care annually (Morley et al., 2018). However, the problem persists despite the wide publicity the issue has attracted over the years. The relevant stakeholders pay little attention to the effect of long ER wait times on the cost of care (Morley et al., 2018). Therefore, the implementation of changes to reduce waiting times at the ER is essential.
1.
This quality improvement initiative aims to increase patient satisfaction and reduce mortality and morbidity (Yarmohammadian et al., 2017). Its implementation will also help to reduce additional costs associated with the high ER patient waiting times. The project will enlighten policymakers on opportunities to eliminate the increasing trajectory in healthcare spending by reducing expenditure without jeopardizing patients’ health.
2.
The target population includes patients assigned to emergency rooms in various healthcare facilities, starting with children and the elderly population, including women and men of all ages.
3.
Driving down ER wait times through this quality improvement initiative will benefit patients and healthcare facilities. For instance, implementing changes such as encouraging some ER patients to seek primary care will reduce patient inflow and congestion in the ER (Morley et al., 2018). In turn, this action will reduce wait times for the other ER patients so that they may receive the required medical attention. In addition, reduced wait times decrease mortality rates and prevent ER patients’ conditions from worsening (Morley et al., 2018). The benefits that the hospital will accrue due to the implementation of this quality improvement initiative include saving their resources. When patient outcomes improve, the additional costs of using more resources reduce significantly (Morley et al., 2018).
4.
Interprofessional collaboration, in which health practitioners from various backgrounds and departments collaborate to provide the best possible treatment, is an effective method to improve patient flow (Liu et al., 2018). In healthcare, teamwork has been found to improve patient safety, albeit the unpredictability of the ER places additional demands on good teamwork and necessitates rigorous training. Improvements in patient satisfaction, work environment, and quality of care have been found in studies of interprofessional training and collaboration (Liu et al., 2018). Interdisciplinary collaboration is based on reducing the number of staff members encountered by the patient, determining appropriate treatment plans and implementing them immediately. Reducing the number of patients each staff member is responsible for (Liu et al., 2018).
5.
ER waiting times exacerbate healthcare costs (Yarmohammadian et al., 2017). Therefore, reduced ER crowding has the potential to save hospitals money and generate additional revenue sources by reducing ambulance diversion and increasing ER bed use (Yarmohammadian et al., 2017). Hospital and government administrations can and should work together to reduce ER crowding. Reduced ER crowding has the ability to considerably improve our patients, enhance hospital income, and reduce healthcare costs is regarded as a healthcare system and hospital concern rather than just an ER problem (Yarmohammadian et al., 2017).
6.
This quality improvement initiative will be evaluated based on measuring the target populations’ time between registration to Emergency Room and admission for further procedures or discharge from the ER. The investigators will evaluate data on the basis of; patient demographic characteristics such as age, gender, the severity of illness, education and marital status; arrival methods to the ER; reasons for leaving the ER; and attending visit time.”

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