Background: Emergency department (ED) delays have multiple causes and create frustration for patients and staff alike. Methods: New adult psychiatric ED consultations were studied. Elapsed time between workflow stages was tested as a predictor of total time from triage to disposition. To expedite interviews a one-page form was provided for interested patients to complete before psychiatric evaluation. Results: Total ED time best correlated with time from rooming to consultation request. Total time was not predicted by time to rooming, or from consultation request to arrival of the psychiatric team. Conclusions: The intervention appeared to significantly reduce interview times. Variation among physicians regarding protocol for psychiatric consultation requests underscored the importance of standardization in quality improvement efforts.J Clin Med Res. 2014;6(4):242-244doi: http://dx.doi.org/10.14740/jocmr1809w
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机译：背景：急诊科（ED）的延误有多种原因，并给患者和医护人员带来挫败感。方法：研究新的成人精神科ED咨询。测试了工作流阶段之间经过的时间，作为从分类到处置的总时间的预测指标。为了加快访谈速度，提供了一页表格供感兴趣的患者在进行精神病学评估之前完成填写。结果：ED的总时间与从入室到咨询请求的时间最相关。总时间不能通过入睡时间或从咨询请求到精神科团队到达的时间来预测。结论：干预似乎显着减少了采访时间。医师之间关于精神科会诊方案的差异，突显了标准化在质量改善工作中的重要性。JClin Med Res。 2014; 6（4）：242-244doi：http://dx.doi.org/10.14740/jocmr1809w
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