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Run: ED Left Without Being Seen Rate Daily Tracking Log

Track ED left-without-being-seen counts by hour, note likely trigger windows, and record interventions in one daily log. Use it to spot when waits spike and ...

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Log Details

Date the LWBS tracking log applies to.
Select the shift or reporting period covered by this log.
Name of the emergency department or facility.
Role of the person completing this log.

Hourly LWBS Counts

Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.
Number of patients who left without being seen during this hour.

Contributing Factors

Select all factors that likely contributed to LWBS events today.
Describe any contributing factor not listed above.
Select the time window when LWBS activity appeared highest.
Approximate wait time in minutes at the peak LWBS period.

Interventions and Follow-Up

Select all interventions implemented to reduce LWBS risk.
Rate how effective the interventions were in reducing LWBS activity.
Document any actions needed for the next shift or leadership review.

Summary and Audit Trail

Brief summary of the day's LWBS trend, trigger points, and notable operational observations.
Confirm that the log has been reviewed by the appropriate manager or supervisor.
Name of the person who reviewed the log.

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