Billings, Montana By empowering nurses to act swiftly based on clinical judgment, the Billings Clinic Emergency Department and Level I Trauma Center team created a moreresponsive, efficient and collaborative emergency department.Among its recent initiatives was the implementation and expansion of nurse-driven

Cincinnati, Ohio The emergency department team at Bethesda North Hospital, a Joint Commission-validated primary stroke and thrombectomy capable center, focused on improving door-to-needle median Tenecteplase times. In early 2024, the organization developed an internal stroke team to meet the guideline for

Palmer, Massachusetts The emergency department at Baystate Wing Hospital worked to decreaseworkplace violence by improving the team’s response to aggressive patients onarrival. A pre-arrival alert is communicated to an ED hospital team, and they greet the patient with EMS or police

Coral Gables, Florida In early 2024, the Baptist Health Doctors Hospital ED launched a nurse practitioner-led initiative focused on improving throughput and reducing discharge delays. The project targeted key bottlenecks, such as pending urine collections, lab results and provider chart reviews.

Miami, Florida South Miami Hospital Emergency Department is committed to delivering safe, high- quality care for patients and staff. In response to rising workplace violence, a dedicated Workplace Violence Council was established to maintain a secureenvironment. The council enforces a zero-tolerance

Milwaukee, Wisconsin   To address rising patient volumes and improve care delivery, the Aurora St. Luke’s Medical Center Emergency Department team launched two strategicinitiatives. First, the Patient Flow Committee, led by the ED manager, redesigned intake operations following a nearby hospital closure.

Burlington, Wisconsin Recognizing the critical importance and impact of timely patient care, AuroraMedical Center-Burlington’s emergency department team focused on optimizing throughput and the significance of intentional patient rounds.The team implemented and successfully adopted a tele-triage model that accelerates door-to-provider times by

Elkhorn, Wisconsin The Auroral Lakeland Medical Center Emergency Department implementedtwo key initiatives that significantly improved patient flow and outcomes. The team redesigned the triage process and introduced a dedicated triage nurse role. This change reduced the time from patient arrival to

Charlotte, North Carolina The 21-bed pediatric emergency department improved patient experience and operational efficiency through several initiatives, including a new intake model that allows for early identification of acuity and streamlines patient flow. Dedicated fast-track zones for low-acuity cases reduce wait

Macon, Georgia The 20-bed emergency department at Atrium Health Levine Children Beverly Knight Olson Children’s Hospital experienced significant growth in patient volume, treating approximately 24,000 patients in 2024—more than doubling its volume since opening in 2019.The ED team remains committed to