Shen ZS, Xu TL, Zhang YY, Jia YJ, Zhao Q, Li JG. Impact of checklist-based process reengineering on emergency stay duration, rescue success rate, and satisfaction in consciousness-disordered patients. World J Psychiatry 2026; 16(4): 115211 [DOI: 10.5498/wjp.v16.i4.115211]
Corresponding Author of This Article
Jian-Guo Li, MD, Department of Emergency Medical, Hebei General Hospital, No. 348 Heping West Road, Shijiazhuang 050000, Hebei Province, China. ymsuutk4@126.com
Research Domain of This Article
Emergency Medicine
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Apr 19, 2026 (publication date) through Mar 30, 2026
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Journal Information of This Article
Publication Name
World Journal of Psychiatry
ISSN
2220-3206
Publisher of This Article
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
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Shen ZS, Xu TL, Zhang YY, Jia YJ, Zhao Q, Li JG. Impact of checklist-based process reengineering on emergency stay duration, rescue success rate, and satisfaction in consciousness-disordered patients. World J Psychiatry 2026; 16(4): 115211 [DOI: 10.5498/wjp.v16.i4.115211]
Zhang-Shun Shen, Yang-Juan Jia, Qian Zhao, Jian-Guo Li, Department of Emergency Medical, Hebei General Hospital, Shijiazhuang 050000, Hebei Province, China
Tie-Ling Xu, Ya-Yu Zhang, Department of General Medical, Hebei General Hospital, Shijiazhuang 050000, Hebei Province, China
Author contributions: Shen ZS and Xu TL designed the study and performed the experiments; Shen ZS, Zhao Q, and Li JG prepared the manuscript; Zhang YY and Jia YJ collected the data; Zhang YY and Zhao Q analyzed the data. All authors read and approved the final manuscript.
Supported by 2020 Hebei Province Medical Science Research, No. 20200743.
Institutional review board statement: This study was approved by the Medical Ethics Committee of Hebei General Hospital, No. 2020(08).
Informed consent statement: Signed written informed consents were obtained from the patients and guardians.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: The data that support the findings of this study are available from the corresponding author upon reasonable request.
Corresponding author: Jian-Guo Li, MD, Department of Emergency Medical, Hebei General Hospital, No. 348 Heping West Road, Shijiazhuang 050000, Hebei Province, China. ymsuutk4@126.com
Received: October 24, 2025 Revised: November 25, 2025 Accepted: January 5, 2026 Published online: April 19, 2026 Processing time: 156 Days and 21.2 Hours
Abstract
BACKGROUND
Disorders of consciousness are critical emergencies requiring timely intervention to improve outcomes. Process reengineering using checklists can enhance efficiency in clinical settings.
AIM
To evaluate whether checklist-based process reengineering in the Emergency Department reduces emergency stay duration and hospitalization time, and improves rescue success rate, prognosis, and satisfaction among patients with disorders of consciousness.
METHODS
From January 2021 to December 2023, our hospital admitted 400 emergency consciousness disorders patients using purposive sampling. The first 200, undergoing rescue without the checklist-based process, formed the control group. The next 200, post-implementation, constituted the observation group. We collected data on emergency stay duration, rescue success rate, hospitalization duration, and patient satisfaction for analysis. Patient prognosis in both groups was compared.
RESULTS
The observation group showed significantly shorter emergency stay duration, time to recovery, and overall hospitalization duration (intensive care unit, general ward, total) compared to the control group (P < 0.05). The observation group had a higher rescue success rate (P < 0.05) and better recovery rate (P < 0.05) than the control group. Both medical staff and patients’ family members reported higher satisfaction with the emergency rescue model after checklist-based process reengineering compared to the conventional emergency rescue model (P < 0.05).
CONCLUSION
Emergency process reengineering based on checklists can effectively reduce the emergency stay duration for patients with consciousness disorders, improve rescue success rates, enhance patient prognosis, and increase overall medical and patient satisfaction.
Core Tip: This study evaluated a checklist-based process reengineering (CBPR) model for emergency care of patients with disorders of consciousness. In a purposive sample of 400 patients, CBPR shortened emergency stay and hospitalization, accelerated recovery, and increased rescue success compared with conventional workflow. Multidisciplinary coordination, a mobile emergency platform, and a causation checklist improved timeliness and decision-making, leading to better Glasgow Outcome Scale prognoses and higher satisfaction among medical staff and families. CBPR offers an efficient, standardized pathway to enhance outcomes for emergency disorders of consciousness care.
