Fundamental Problems
- New facility in design phase - how many rooms needed?
- Patients asked same information repeatedly
- Patients waiting for specialty rooms
- RNs spend time locating and gathering supplies
- Poor layout confused patients at entry point
- Patients queried about financial information before receiving care
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Solutions
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Store supplies at point of use
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Rooms become specialized with specialty carts brought to patient
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Flow redesigned to allow for concurrent RN & MD assessment
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Designed 5 min standardized triage
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Registration at bedside after care has begun
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Teamwork enables inpatient admission to change from push to pull
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ED tracker provides visual for patient flow
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