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Collaboration Across Teams Reduces Interruptions
Laboratory and emergency departments teamed to decrease work interruptions caused by non-urgent test result notifications.
- Workplace interruptions can add stress, increase patient errors and cause patients to feel like they’re not receiving good care.
- Lab staff tested the secure chat messaging in Kaiser Permanente’s electronic health record system to notify Emergency Department nurses about non-urgent lab results instead of using their hands-free, voice-controlled wearable communication devices.

Putting Patients on the Fast Track
After four months of rapid improvements, emergency room stay decreased from 162 minutes to the team’s target of 90 minutes.
- The length of stay exceeded national benchmarks — patients were waiting up to three hours with minor injuries that required a short amount of physician time.
- The team defined triage urgency using the Emergency Severity Index (ESI) and set up a fast track area at the front of the department.