CRMC emergency department left without being seen initiative

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Left Without Being Seen (LWBS) rates are a vital throughput measure for Emergency Departments (ED) nationwide. This value represents the number of patients who seek medical care but leave prior to being evaluated by a provider. These occurrences often result from long wait times, dissatisfaction with the triage process, or personal obligations that requires the patient leave prematurely (Flournoy, 2024). High LWBS rates can represent systemic challenges in patient flow and highlight a need for improved capacity management and workflow operations within the ED. At Capital Region Medical Center (CRMC), the LWBS rate was beyond the national benchmark of 2% (Smally et al., 2021). As a result, a throughput committee was established to identify contributing factors and implement strategies to improve patient flow and reduce overall LWBS rates.

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