EKG COLUMNImproving Patient Flow and Decreasing Patient Length of Stay in the Pediatric Emergency Department Through Implementation of a Fast TrackMartin, Heather A. DNP, RN, PNP-BC; Noble, Marcy BSN, RN, CPEN; Wilmarth, Jaclyn MS, RN, CPPSAuthor Information Department of Emergency Medic-ine (Dr Martin), Pediatric Emergency Nursing (Ms Noble), and Emergency Nursing (Ms Wilmarth), Univer-sity of Rochester Medical Center, Rochester, New York. Corresponding Author: Heather A. Martin, DNP, RN, PNP-BC, Department of Emergency Medicine, University of Rochester Medical Center, 601 Elmwood Ave, Box 655A, Rochester, NY 14642 ([email protected]). The authors recognize the entire University of Rochester Medical Center Pediatric Emergency Department team for their participation and enthusiasm in making this project a success. This was truly a team-based effort. Disclosure: The authors report no conflicts of interest. Advanced Emergency Nursing Journal: April/June 2021 - Volume 43 - Issue 2 - p 162-169 doi: 10.1097/TME.0000000000000351 Buy Metrics Abstract Increased utilization of the emergency department (ED) for low acuity concerns saturates EDs, leading to overcrowding. As the ED becomes crowded, the quality of care threatens patient safety and increases length of stay. To improve the efficiency of evaluation and discharge of low acuity patients in the pediatric ED, a performance improvement project was implemented to develop a Fast Track. An interdisciplinary team developed the process of Fast Track, as well as guidelines for low acuity patients who would be evaluated in the designated area by an advanced practice provider and registered nurse team. Within 14 months of operating, length of stay of low acuity patients triaged an emergency severity illness score of 4 or 5 dropped 36% (from 144 to 92 min). Pediatric patients who present to the ED with low acuity concerns can be effectively and efficiently cared for in a timely fashion in a pediatric ED Fast Track. © 2021 Wolters Kluwer Health, Inc. All rights reserved.