Improvement of emergency department patient flow using lean thinking
نویسندگان
چکیده
منابع مشابه
Redesigning emergency department patient flows: application of Lean Thinking to health care.
OBJECTIVE To describe in some detail the methods used and outcome of an application of concepts from Lean Thinking in establishing streams for patient flows in a teaching general hospital ED. METHODS Detailed understanding was gained through process mapping with staff followed by the identification of value streams (those patients likely to be discharged from the ED, those who were likely to ...
متن کاملImproving emergency department patient flow
Emergency departments (ED) face significant challenges in delivering high quality and timely patient care on an ever-present background of increasing patient numbers and limited hospital resources. A mismatch between patient demand and the ED's capacity to deliver care often leads to poor patient flow and departmental crowding. These are associated with reduction in the quality of the care deli...
متن کاملLean techniques for the improvement of patients' flow in emergency department.
BACKGROUND Emergency departments (EDs) face problems with overcrowding, access block, cost containment, and increasing demand from patients. In order to resolve these problems, there is rising interest to an approach called "lean" management. This study aims to (1) evaluate the current patient flow in ED, (2) to identify and eliminate the non-valued added process, and (3) to modify the existing...
متن کاملSTEPS: lean thinking, theory of constraints and identifying bottlenecks in an emergency department.
This study aimed to identify the bottlenecks in patients' journeys through an emergency department (ED). For each stage of the patient journey, the average times were compared between two groups divided according to the four hour time frame and disproportionate delays were identified using a significance test These bottlenecks were evaluated with reference to a lean thinking value-stream map an...
متن کاملEmergency department patient flow: the influence of hospital census variables on emergency department length of stay.
OBJECTIVES The objective was to evaluate the association between hospital census variables and emergency department (ED) length of stay (LOS). This may give insights into future strategies to relieve ED crowding. METHODS This multicenter cohort study captured ED LOS and disposition for all ED patients in five hospitals during five 1-week study periods. A stepwise multiple regression analysis ...
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ژورنال
عنوان ژورنال: International Journal for Quality in Health Care
سال: 2018
ISSN: 1353-4505,1464-3677
DOI: 10.1093/intqhc/mzy017