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Author: Thom A. Mayer
Publisher: Fire Starter Publishing
ISBN: 9780984079469
Category : Decision making
Languages : en
Pages : 0
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Book Description
"Hardwiring Flow: Systems and Processes for Seamless Patient Care, by Drs. Thom Mayer and Kirk Jensen, delves into one of the most critical issues facing healthcare leaders today. Patient flow. Essentially, it means patients spend exactly the right amount of time at every juncture in their journey through an organization--just enough time to maximize their clinical outcomes in the most cost-effective manner"--Publisher's description.
Author: Thom A. Mayer
Publisher: Fire Starter Publishing
ISBN: 9780984079469
Category : Decision making
Languages : en
Pages : 0
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Book Description
"Hardwiring Flow: Systems and Processes for Seamless Patient Care, by Drs. Thom Mayer and Kirk Jensen, delves into one of the most critical issues facing healthcare leaders today. Patient flow. Essentially, it means patients spend exactly the right amount of time at every juncture in their journey through an organization--just enough time to maximize their clinical outcomes in the most cost-effective manner"--Publisher's description.
Author: Jody Crane MD MBA
Publisher: CRC Press
ISBN: 1439895384
Category : Business & Economics
Languages : en
Pages : 344
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Book Description
In a unique and integrated approach, The Definitive Guide to Emergency Department Operational Improvement: Employing Lean Principles with Current ED Best Practices to Create the "No Wait" Department exposes you to the academics behind managing the complex service environment that is the ED. The book combines applied management science and ED experi
Author: Stephanie Kayden
Publisher: Cambridge University Press
ISBN: 1107007399
Category : Business & Economics
Languages : en
Pages : 375
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Book Description
Written for a global audience, by an international team, the book provides practical, case-based emergency department leadership skills.
Author: Christopher Strear
Publisher:
ISBN: 9781640551510
Category :
Languages : en
Pages :
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Book Description
"This book explains how to use the Theory of Constraints to improve patient flow in a hospital, medical office, urgent care center, or clinic"--
Author: Shannon L. Mabry
Publisher:
ISBN:
Category : Emergency medical services
Languages : en
Pages : 0
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Book Description
Emergency department (ED) overcrowding is a global, complex issue that occurs when the demand for emergency services surpasses patient care resources in an ED or hospital (George and Evridiki, 2015). It is characterized by decreased patient flow and adversely impacts patient safety, quality of care, and outcomes including increasing mortality (Carter, Pouch, and Larson, 2014) (Elder, Johnston, and Crilly, 2015). Many strategies to combat ED overcrowding aim to increase patient flow. Numerous studies have found that adding a physician or physician assistant (PA) in triage increases patient flow (Cheng and others, 2013) (Rowe and others, 2011) (Barbee, 2010). This process allows for earlier evaluation, intervention implementation, and diagnosis. Disposition decisions can even be made from triage. Specifically, this intervention has been shown to reduce ED length of stay (LOS), wait times, delays in treatment, and the number of patients who leave without being seen (Barbee, 2010) (Han and others, 2010). Study results include level 1 evidence showing a decrease in ED LOS and wait times when this intervention is implemented (Rowe, and others, 2011). Physician/PA triage is supported by the systems theory and a review of literature comprised of 15 peer-reviewed journal articles. Promoting the successfulness of physician/PA triage requires developing sound implementation, evaluation, and dissemination plans. The implementation plan presented describes how to gain approval and support from key stakeholders for the process change and includes a description of implementation logistics and required resources. The evaluation plan presented describes how to monitor and evaluate the effectiveness of physician/PA triage in improving patient flow. This includes the identification of evaluation methods, variables to be assessed, and tools. Additionally, an example of an educational tool is provided. Lastly, the dissemination plan describes how the results of the process change will be communicated to key stakeholders and the greater nursing community.
Author: Shanshan Qiu
Publisher:
ISBN:
Category : Hospitals
Languages : en
Pages : 132
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Book Description
ABSTRACT IMPROVING EMERGENCY DEPARTMENT PATIENT FLOW THROUGH NEAR REAL-TIME ANALYTICS This dissertation research investigates opportunities for developing effective decision support models that exploit near real-time (NRT) information to enhance the "operational intelligence" within hospital Emergency Departments (ED). Approaching from a systems engineering perspective, the study proposes a novel decision support framework for streamlining ED patient flow that employs machine learning, statistical and operations research methods to facilitate its operationalization. ED crowding has become the subject of significant public and academic attention, and it is known to cause a number of adverse outcomes to the patients, ED staff as well as hospital revenues. Despite many efforts to investigate the causes, consequences and interventions for ED overcrowding in the past two decades, scientific knowledge remains limited in regards to strategies and pragmatic approaches that actually improve patient flow in EDs. Motivated by the gaps in research, we develop a near real-time triage decision support system to reduce ED boarding and improve ED patient flow. The proposed system is a novel variant of a newsvendor modeling framework that integrates patient admission probability prediction within a proactive ward-bed reservation system to improve the effectiveness of bed coordination efforts and reduce boarding times for ED patients along with the resulting costs. Specifically, we propose a cost-sensitive bed reservation policy that recommends optimal bed reservation times for patients right during triage. The policy relies on classifiers that estimate the probability that the ED patient will be admitted using the patient information collected and readily available at triage or right after.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133777
Category : Medical
Languages : en
Pages : 424
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Book Description
Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: • The role and impact of the emergency department within the larger hospital and health care system. • Patient flow and information technology. • Workforce issues across multiple disciplines. • Patient safety and the quality and efficiency of emergency care services. • Basic, clinical, and health services research relevant to emergency care. • Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.
Author: John M. Shiver
Publisher: CRC Press
ISBN: 1420084976
Category : Business & Economics
Languages : en
Pages : 264
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Book Description
Across the country ambulances are turned away from emergency departments (EDs) and patients are waiting hours and sometimes days to be admitted to a hospital room. Hospitals are finding it hard to get specialist physicians to come to treat emergency patients. Our EDs demand a new way of thinking. They are not at a tipping point; they are at a break
Author: Randolph Hall
Publisher: Springer Science & Business Media
ISBN: 1461495121
Category : Business & Economics
Languages : en
Pages : 547
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Book Description
This book is dedicated to improving healthcare through reducing delays experienced by patients. With an interdisciplinary approach, this new edition, divided into five sections, begins by examining healthcare as an integrated system. Chapter 1 provides a hierarchical model of healthcare, rising from departments, to centers, regions and the “macro system.” A new chapter demonstrates how to use simulation to assess the interaction of system components to achieve performance goals, and Chapter 3 provides hands-on methods for developing process models to identify and remove bottlenecks, and for developing facility plans. Section 2 addresses crowding and the consequences of delay. Two new chapters (4 and 5) focus on delays in emergency departments, and Chapter 6 then examines medical outcomes that result from waits for surgeries. Section 3 concentrates on management of demand. Chapter 7 presents breakthrough strategies that use real-time monitoring systems for continuous improvement. Chapter 8 looks at the patient appointment system, particularly through the approach of advanced access. Chapter 9 concentrates on managing waiting lists for surgeries, and Chapter 10 examines triage outside of emergency departments, with a focus on allied health programs Section 4 offers analytical tools and models to support analysis of patient flows. Chapter 11 offers techniques for scheduling staff to match patterns in patient demand. Chapter 12 surveys the literature on simulation modeling, which is widely used for both healthcare design and process improvement. Chapter 13 is new and demonstrates the use of process mapping to represent a complex regional trauma system. Chapter 14 provides methods for forecasting demand for healthcare on a region-wide basis. Chapter 15 presents queueing theory as a method for modeling waits in healthcare, and Chapter 16 focuses on rapid delivery of medication in the event of a catastrophic event. Section 5 focuses on achieving change. Chapter 17 provides a diagnostic for assessing the state of a hospital and using the state assessment to select improvement strategies. Chapter 18 demonstrates the importance of optimizing care as patients transition from one care setting to the next. Chapter 19 is new and shows how to implement programs that improve patient satisfaction while also improving flow. Chapter 20 illustrates how to evaluate the overall portfolio of patient diagnostic groups to guide system changes, and Chapter 21 provides project management tools to guide the execution of patient flow projects.
Author: Eugene Litvak
Publisher:
ISBN: 9781635850406
Category : Hospital care
Languages : en
Pages : 200
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Book Description
Optimizing patient flow : advanced strategies for managing variability to enhance access, quality, and safety offers readers innovate techniques for maximizing patient flow and improving operations management while providing clear examples of successful impementation. This all-new book can help health care organizations to reduce and manage variability, thereby increasing the reliablity of systems and processes and improving health care quality and safety.
