From News Desk
King Faisal Specialist Hospital and Research Centre (KFSHRC) in Riyadh has reduced the median emergency department boarding time from over 13 hours in 2023 to just 3.2 hours by mid 2025, achieving a 75% decrease that places the hospital among the top 5% of high-capacity academic medical centers worldwide in the emergency boarding time metric. This milestone reflects KFSHRC’s ability to manage capacity pressures while expanding access to advanced specialty care.
To achieve this transformation, KFSHRC implemented a comprehensive, data-driven process re-engineering program aimed at addressing the root causes of delays across the entire patient journey from entry to the emergency department through inpatient admission. The initiative was supported by the AI enabled Patient Flow & Capacity Command Centre, which tracks patient flow in real time and forecasts potential bottlenecks before they occur.
The primary role of process re-engineering was to design more efficient care pathways based on accurate performance data and key operational indicators, supported by insights from the Command and Control Center, which automatically detects delays in patient flow, issues real time alerts to responsible staff for immediate intervention, and escalates unresolved issues to higher management levels, thereby accelerating decision making and strengthening accountability.
As part of this hospital wide transformation, KFSHRC introduced new pathways that allow stable patients to be admitted directly from outpatient clinics without passing through the emergency department, while also accelerating morning discharges, expediting discharge medication processing, and streamlining laboratory and radiology diagnostics. Collectively, these measures expanded inpatient capacity, enabling the hospital to accommodate more complex cases such as organ transplantation and CAR T cell therapy, while ensuring a flexible and efficient operating system capable of meeting rising demand.
This milestone is particularly significant given KFSHRC’s scale — with over 1,500 beds dedicated to high-complexity care, including transplants, oncology and immuno-therapy — where optimizing inpatient throughput is one of the most critical factors in safeguarding patient safety and operational performance. KFSHRC is now preparing to share its experience with global peer institutions through site visits, capacity planning collaborations, and structured performance bench-marking programmes.
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