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What is Fast Track

Handbook of Research on Optimizing Healthcare Management Techniques
Operational model of care used to expedite emergency care of low complexity. The goal for this group of patients is the rapid accomplishment of care by a clinical team. This care model is designed to reduce the time and length of stay for a defined group of patients.
Published in Chapter:
Fast Track to Reduce Patient Lead Time: A Discrete Event Simulation Analysis
Thais Gabriel Pincigher Silva (Rio de Janeiro State University, Brazil), Carolina Mendes e Senna de Castro (Rio de Janeiro State University, Brazil), Daniel Bouzon Nagem Assad (Rio de Janeiro State University, Brazil), Ana Carolina Vasconcelos (Rio de Janeiro State University, Brazil), and Thais Spiegel (Rio de Janeiro State University, Brazil)
DOI: 10.4018/978-1-7998-1371-2.ch018
Patient lead time in emergency units is a critical factor for quality of care and patient safety. The objective of the chapter is a public emergency care hospital of a Brazilian city, important for its localization in the second more populated area of the city. Green risk patients constitute more than half of attendances and represent the largest volume of out-of-goal attendances in the hospital. Considering this analysis, it was conducted the process modelling in order to understand patient pathway and the main related problems. A list of undesirable effects was subsequently composed, allowing the construction of the current reality tree (CRT). With the root causes identified, the literature suggested fast track as an alternative to reduce the average waiting time in queue until the medical care. The method used for testing scenarios of fast track was discrete events simulation.
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