Sarah C Isbey, Sephora N Morrison, Sonya M Burroughs, Jaclyn N Kline
Patient Portal Enrollment for Discharged Pediatric Emergency Department Patients: A Multidisciplinary Quality Improvement Project
Pediatric quality & safety
despite substantial efforts reduce operating room turnover time tot delays remain frustration physicians staff hospital leadership efforts employed many systems human factorbased approaches variable results deeper dive methodologies applicability could lead successful sustained change aim study conduct systematic review evaluate relevant research focused improving tot clearly defining measures successful intervention systematic review tot interventions implemented 1980 october 2022 performed using preferred reporting items systematic reviews metaanalyses prisma methodology research databases included 1 pubmed 2 web science 3 ovid medline total 38 articles appropriate analysis employed prepost intervention approach 29 763 remaining utilized controlintervention approach nine intervention methods identified majority included process redesign bundle 24 63 followed overlapping induction dedicated unitteamspace feedback financial incentives team training education practice guidelines redefinition rolesresponsibilities studies categorized one two groups 1 utilized predetermined interventions based anecdotal experience prior literature 18 474 2 conducted prospective analysis baseline data inform intervention development 20 526 significant variability methodologies utilized improve tot however effective solutions involved process redesign bundles developed prospective investigation clinical worksystem