Process Change | Implementation date | Description |
Initial Intervention for Timely IV Opioid Delivery (IVO Process) | October 2007 | The original improvement process to expedite delivery of intravenous opioid pain medications to patients with clinically-apparent long bone fractures |
Change in IVO Process Physician Staffing | January 2009 | The IVO Process was originally staffed by a general pediatric physician, and later changed to a resident physician with pediatric emergency medicine faculty physician supervision. |
ED Fast Track Implementation | May 2011 | Fast Track was a minor care section of the ED with clinical space and staff dedicated to expedite the care of lower acuity injuries and illnesses |
PEM Faculty Staffing Changes | September 2012 | Increased hours of pediatric emergency medicine (PEM) faculty physician staffing to expedite the flow of patient care |
Rapid Response Pager for Select Patient Care Groups | February 2013 | QI intervention to expedite goal-oriented care for status asthmaticus, migraine headache, sickle cell vaso-occlusive pain, testicular pain and gastrostomy tube replacement. |
Change in IVO Process Location | May 2013 | The IVO Process was originally located in the shock-trauma suite, and later relocated to triage suite. |
Rapid Assessment of Patients with Suspected Sepsis | June 2013 | QI intervention to expedite goal-oriented care for potentially septic, high-risk patients. |
On-Site Urgent Care Facility Opening | July 2013 | The Urgent Care largely replaced the function of Fast Track for the care of minor illnesses and injuries during peak patient volume hours. |