Original ArticlesImplementation of Best Practices to Reduce Overall Emergency Department Length of StaySedlak, S. Kay MS, RN, CEN; Roberts, Anne BSN, RN Author Information Emergency Department, Saint Mary's Regional Medical Center, Reno, Nev. Corresponding author: Anne Roberts, BSN, RN, Emergency Department, Saint Mary's Regional Medical Center, Reno, NV 89503 (e-mail: [email protected]). The authors express their gratitude and appreciation to Vijay Manthripragada, project director of H Works; Eileen Whalen, critical care director; and Donna Alexander, medical librarian at Saint Mary's Regional Medical Center, for their assistance in leadership and acquiring information for the article. Topics in Emergency Medicine 26(4):p 312-321, October 2004. Buy Abstract Overcrowding in emergency departments (EDs) has become a problem for the majority of US hospitals. The potential consequences include diversion of ambulances, prolonged waits, dissatisfied clients, potential for poor outcomes, and unnecessary costs. Our facility contracted with the Healthcare Advisory Board to identify improvement processes to overcome many of the hurdles associated with ED overcrowding. Using a multidisciplinary approach, we identified specific areas for change: bedside registration, hardwired checkout, dedicated radiology transport technician, centralized bed control, and ED physician admit authority. Results demonstrate a reduction in overall ED length of stay, improvement in patient satisfaction, and increased revenue. © 2004 Lippincott Williams & Wilkins, Inc.