%0 Journal Article %T A Novel Approach to Addressing an Unintended Consequence of Direct to Room: The Delay of Initial Vital Signs %A Barry Hahn %A Bartholomew Cambria %A Brahim Ardolic %A Elias Youssef %A Jerel Chacko %A Joseph Basile %A Karyn Treval %J Archive of "Western Journal of Emergency Medicine". %D 2018 %R 10.5811/westjem.2017.12.35068 %X The concept of ˇ°direct to roomˇ± (DTR) and ˇ°immediate beddingˇ± has been described in the literature as a mechanism to improve front-end, emergency department (ED) processing. The process allows for an expedited clinician-patient encounter. An unintended consequence of DTR was a time delay in obtaining the initial set of vital signs upon patient arrival %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5851496/