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In June 2013, a medical student research project was conducted which looked to characterize how long patients waited in line before being registered and triaged. This study took place at Royal University Hospital and St. Paul’s Hospital. This project inspired RPIW #51, which was aimed at reducing patient lead time at the emergency department in SPH. RPIW #51 successfully reduced the lead time from patients entering the ED to being assigned a bed by 50%. Audience members will learn how a research project translated into an RPIW that greatly improved multiple aspects of the patient experience in St. Paul’s ED.