Eight years ago, emergency department (ED) personnel at Christiana Hospital recorded the whereabouts of patients in a health information-technology system that required manual entry of all changes in a patient's location. This non-automated system had served the ED well in the past but had become outdated and unworkable when volume reached 85,000 annual visits in 2003. As the volume surged, the hospital realized it needed an automated system to avoid significant wait times and reduce the percentage of patients who left without been seen (LWBS).
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