Fairfield, Ohio In response to increasing patient complexity and limited treatment space in the 35-bed ED, Mercy Health – Fairfield Hospital’s emergency department nurses identified an opportunity to redesign patient flow. Through shared decision-making, the team implemented an internal waiting room supported

Naples, Florida The Naples Comprehensive Health Baker Emergency Department earned Silver Level II Geriatric Emergency Department Accreditation by implementing evidence-based, age-friendly practices that improve care for older adults. Through nurse-led interdisciplinary collaboration, staff education, standardized protocols and targeted quality improvement initiatives, the

Bonita Springs, Florida The NCH Bonita Springs Freestanding Emergency Department, part of Naples Comprehensive Health, is a 12-bed facility staffed by a lean, but highly skilled interdisciplinary team. A recent key initiative was redesigned team workflows during high-acuity and overlapping emergencies. Nurses

Miami, Florida The Nicklaus Children’s Hospital Emergency Department implemented a comprehensive throughput strategy focused on daily performance reviews, interdisciplinary huddles, real-time census monitoring and hospital-wide escalation processes. ED leaders, operations administrators, providers and nursing teams collaborate throughout the day to proactively address

Port Jefferson, New York Front-line nurses at Northwell Health Mather Hospital led an initiative that improved nurse communication and patients’ understanding of discharge medications. The nurses developed easy- to-understand medication pamphlets, which are now incorporated into the discharge process to provide consistent

Grayslake, Illinois The Northwestern Medicine Grayslake Freestanding Emergency Department improved patient “Likelihood to Recommend” performance through a multidisciplinary approach focused on communication, wait-time management, service recovery and patient-centered care. Leaders and front-line staff partnered to review patient feedback, implement targeted improvements, recognize

Sacramento, California Emergency department leaders at Sutter Medical Center examined the issue of ED boarding when they determined many patients occupying in-patient beds were waiting for diagnostics and then discharged. The most consistent delay was for patients waiting for a cardiac stress

Providence, Rhode Island The Miriam Hospital Emergency Department, part of Brown University Health, successfully implemented two important initiatives aimed at improving access to care and enhancing workforce safety. The ED accelerated improvements through a culture of governance, decision-making and empowered nurse autonomy.

Paramus, New Jersey Through shared governance and collaborative leadership, the Valley Hospital Bolger Emergency Department transformed patient flow and the waiting experience by launching an interdisciplinary Wait Time Task Force. A strong partnership of the operational teams led to solutions including a real-time

Hendersonville, North Carolina UNC Health Pardee’s Emergency Department has implemented a comprehensive workplace violence prevention program focused on staff safety, early intervention and enhanced behavioral health expertise. Dedicated behavioral health nurses in the ED provide specialized assessment and de-escalation support, while all