Table 2

The details of included papers that researched interventions to improve LWBS rates

AuthorYearCountryStudy typeInterventionResult
Fernandes231997CanadaRetrospectiveNon-urgent fast-track, improved triage38 Min decrease in wait, LWBS 2.4% down to 1.1%
Sanchez242006USAHistorical cohortFast-track for non-urgent; managed by physicians assistant or nurse practitionerLWBS 7.78% down to 3.72%
Nash252007USAPatient chart and satisfaction analysisFTU for non-urgents; managed by nurse practitionerLWBS 6.7% in main ED, but 3.9% in FTU
Kelen262001USAProspective observationalAcute care unit managed by ED staff; for observation, prolonged investigationsLWBS reduction from 10.1% to 5%
Chan282005USAIntervention studyRapid entry and accelerated care at triage facilityLWBS decreased from 7.7% to 4.4%
Spaite292002USAProspectiveReduced nurse:patient ratio, streamline monitored beds, increase in admin staff and emergency medicine residents, immediate bed allocation92% Decrease in LWBS
  • ED, emergency department; FTU, fast-track unit; LWBS, leave without being seen.