Evaluation of Fast Track

Shane Combs, Rose Chapman, A Bushby
Accident and Emergency Nursing 2007, 15 (1): 40-7
This paper is the second of two articles discussing the execution and evaluation of implementing a Fast Track program in a West Australian outer metropolitan hospital Emergency Department. The first paper in the series outlined the implementation process over a 12-month period. This current paper presents the findings of the 12-month evaluation utilising Statistical Process Charts. The object of this evaluation was to undertake analysis of data throughout the change process and demonstrate the effectiveness of implementing Fast Track into the Department. Following the implementation of Fast Track, the Department's "Did not wait" rate decreased over a 12-month period from 10% to 5.4%, without a detrimental impact on treatment times for the patients with serious illnesses and injuries. Furthermore, Fast Track resulted in patients with minor injuries or illnesses being seen, treated and discharged within 2 hours of presentation. Indeed the journey time decreased for all Emergency Department patients. As a result of Fast Track, the Emergency Department waiting area is less congested and staff moral has increased. A further consequence of Fast Track is that nurses are providing more advanced clinical services to patients.

Full Text Links

Find Full Text Links for this Article


You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read

Save your favorite articles in one place with a free QxMD account.


Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"