Hospital Emergency Room Efficiency Audit Form

Hospital Emergency Room Efficiency Audit Form
Please complete this form to assess and document the operational efficiency of the hospital emergency room.
Facility Name*
Date of Audit*
MonthDayYear
Date
Auditor Full Name*
First NameLast Name
Contact Email*
example@example.com
Patient Flow Assessment*
Rows Excellent Good Fair Poor
Patient registration process
Triage process efficiency
Patient transfer to treatment area
Discharge procedures
Average Patient Wait Time (minutes)*
Staff Responsiveness*

1
2
3
4
5
1 is Very Slow, 5 is Very Fast
Resource Availability Assessment*
Rows Adequate Needs Improvement Insufficient
Medical equipment
Medications
Clean linens
Sanitary supplies
Waiting areas are cleanTreatment rooms are sanitizedHand hygiene stations availableClear signage for emergency exitsOther (please specify)
Communication and Information Provided to Patients*
ExcellentGoodFairPoor
Additional Comments or Recommendations
Should be Empty:

Rows	Excellent	Good	Fair	Poor
Patient registration process
Triage process efficiency
Patient transfer to treatment area
Discharge procedures