The method for implementing the Door-to-Doc process flow in diverse emergency departments was based on a change model that recognizes the need for robust technical solutions along with acceptance of the change by those affected. It involved two important aspects:

• Process: analyzing the process for adaptation to unique patient acuities and volumes
• People: facilitating acceptance of the changes among the individuals affected

“Door to Doc” was successful in reducing the time for patients to be seen by a physician and the rate of leave without treatment, thereby improving patient safety.