{"title":"Using Clinical Staff-Initiated Protocols in the Urgent Care Setting","authors":"Holly S. Mason, Holly A. Buchanan","doi":"10.1016/j.nurpra.2025.105435","DOIUrl":null,"url":null,"abstract":"<div><div>Increased health care burden has led to increased patient use of urgent care centers, causing longer waiting times. This project aimed to improve patient throughput and assess feasibility and staff acceptability. Clinical staff-initiated protocols for various conditions were implemented. Patient length of stay (LOS) was recorded and compared with preimplementation data. From January to March 2023, the sore throat protocol significantly reduced LOS by 18 minutes (28.7%, <em>P</em> < .001). Dysuria and upper respiratory symptoms without fever protocols showed practically significant reductions. Clinical staff-initiated protocols can improve patient LOS in urgent care centers, benefiting patients, practice, and providers.</div></div>","PeriodicalId":101233,"journal":{"name":"The Journal for Nurse Practitioners","volume":"21 7","pages":"Article 105435"},"PeriodicalIF":0.0000,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Journal for Nurse Practitioners","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1555415525001187","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Increased health care burden has led to increased patient use of urgent care centers, causing longer waiting times. This project aimed to improve patient throughput and assess feasibility and staff acceptability. Clinical staff-initiated protocols for various conditions were implemented. Patient length of stay (LOS) was recorded and compared with preimplementation data. From January to March 2023, the sore throat protocol significantly reduced LOS by 18 minutes (28.7%, P < .001). Dysuria and upper respiratory symptoms without fever protocols showed practically significant reductions. Clinical staff-initiated protocols can improve patient LOS in urgent care centers, benefiting patients, practice, and providers.
医疗保健负担的增加导致更多的患者使用紧急护理中心，导致更长的等待时间。该项目旨在提高患者吞吐量，评估可行性和员工接受度。实施了临床工作人员发起的各种条件的协议。记录患者住院时间（LOS）并与实施前数据进行比较。从2023年1月到3月，喉咙痛方案显著减少了18分钟的LOS (28.7%, P <；措施)。没有发热方案的排尿困难和上呼吸道症状实际上显著减少。临床工作人员发起的协议可以改善紧急护理中心的患者LOS，使患者，实践和提供者受益。
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