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Evaluating Emergency Room Efficiency: Insights from Grady Memorial Hospital

This presentation explores the observations and reflections on the emergency room (ER) environment at Grady Memorial Hospital. It highlights the crowded waiting areas and the overall confusion typical in ERs, contrasting it with the space and efficiency observed during the visit. Positive impressions were noted due to the effective use of space, reminiscent of an airport terminal, while challenges such as noise levels, clutter, and communication problems were also identified. The findings emphasize the importance of ongoing evaluation for continuous improvement in ER capabilities and patient care.

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Evaluating Emergency Room Efficiency: Insights from Grady Memorial Hospital

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  1. Emergency Room ObservationsPechaKucha Jenny LiuBMED 8813 Fall 2012

  2. Expectations • Crowded waiting rooms and hallways • General confusion / stressful environment • Large space to support ER’s capabilities

  3. Impressions • Most were pretty positive • Skewed by the expectation of the worst • Focused on: • General use of space • Noise level • Overall environment

  4. Pros: Not crowded

  5. Overall ER • Did not span a large area of the hospital • Compared to the pathology labs in Grady • Pro: efficient use of space

  6. Overall Environment • Like an airport terminal

  7. Reflection • Environment reflects the idea that people are doing their work quickly enough • Ex: CULC building

  8. Check-in / Registration • Like a bank teller • Feels very efficient

  9. Security • Came in the front door of the hospital and didn’t have to go through the metal detector • Purpose?

  10. Cluttered and Cramped

  11. Comfort

  12. Size of rooms

  13. Trauma Bay : compared with OR

  14. Dirty rooms • Expected to see rapid turn-over time

  15. Noise Level

  16. Identified Problem • No electronic transfer of medical records from EMT to triage • [Communication]

  17. Preliminary Problems • Clutter in the patient observation and triage rooms • Can create additional stress on patients and family members

  18. Conclusion • Seems to be a pretty efficient system • Would need to see more ERs for comparison

  19. References • Lectures from class • Tour guide at Grady: Eli Po • Lecturers: Jeremy Ackerman, David Cowan, Ellen Do, Craig Zimring • Pictures from: • https://www.dropbox.com/home/HOF%20Grady • http://inplacenews.wordpress.com/2008/08/06/cdc-says-emergency-room-wait-time-averages-an-hour/ • http://www.sanfranciscosentinel.com/?p=25003 • http://www.osha.org • http://www.kaiserhealthnews.org/stories/2009/october/02/grady.aspx • http://www.flickr.com/photos/jim_watkins/4265226327/ • http://www.xkcd.com • http://www.ajc.com • http://ce.gatech.edu/media/news/5701 • http://www.flickr.com/photos/georgiatech/6937981452/ • Questions?

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