The Urgent Matters Toolkit is a collection of strategies and tools designed to target specific issues facing hospital emergency departments. This toolkit has been developed by hospitals across the country in conjunction with the Urgent Matters national program office at The George Washington University. Our goal is to continue to grow and expand the toolkit and make these resources available to the public.
These five time points are commonly used when standardizing ED operational definitions. The ABCDE model is not affected by time of registration, nor immediate bedding strategies. To accommodate a physician-in-triage and scenarios where patients may be evaluated prior to bed placement, the conceptual model is flexible and can be adjusted, as seen with the ACBDE and ACDE scenarios shown in the figure above. Combined with the ABCDE scenario, these encompass nearly all of the possible flow scenarios seen in modern EDs. Using a conceptual model that is common to the majority of EDs allows similar segments (i.e. bed-to-clinician evaluation or BC interval) to be compared across EDs as well as between pre and post EHR implementation at a single facility.