An emergency department is experiencing an increase in patient wait times and a decrease in patient satisfaction scores. After a preliminary round of data gathering, the nurse leader organizes a committee to perform a comprehensive review. What is the MOST effective initial action for the committee to take in order to start the process improvement?
Revise the scheduling system for the nursing staff.
Implement a top-down change in leadership practices.
Conduct a root cause analysis to determine the underlying reasons for the increased wait times and decreased patient satisfaction.
Starting with a root cause analysis is the most effective initial step because it helps to identify the underlying causes of the increased wait times and decreased satisfaction. Once the root causes are understood, targeted strategies to address these specific issues can be developed, potentially leading to more effective solutions. Simply expanding staff or revising scheduling without understanding the root causes may lead to ineffective use of resources or fail to address the actual issues. Changing leadership practices without evidence may cause disruption and is not directly linked to wait times and patient satisfaction without further analysis.
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