How to know when your system is efficient

In EM, we’re constantly wondering if we’re seeing patients rapidly enough: nobody wants the MI who’s been sitting in the wating room for an hour, for example.

Today I saw a patient that told me we’re seeing patients rapidly.  A patient called EMS with a somewhat less than urgent complaint, was transported to our ED, dropped off at triage, triaged, and placed in a room.

I still got there in time to see this patient sitting up and eating the middle third of their pint of ice cream, and it was still nice and frozen.

It’s a good system.