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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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Emergency Room ObservationsPechaKucha Jenny LiuBMED 8813 Fall 2012
Expectations • Crowded waiting rooms and hallways • General confusion / stressful environment • Large space to support ER’s capabilities
Impressions • Most were pretty positive • Skewed by the expectation of the worst • Focused on: • General use of space • Noise level • Overall environment
Overall ER • Did not span a large area of the hospital • Compared to the pathology labs in Grady • Pro: efficient use of space
Overall Environment • Like an airport terminal
Reflection • Environment reflects the idea that people are doing their work quickly enough • Ex: CULC building
Check-in / Registration • Like a bank teller • Feels very efficient
Security • Came in the front door of the hospital and didn’t have to go through the metal detector • Purpose?
Dirty rooms • Expected to see rapid turn-over time
Identified Problem • No electronic transfer of medical records from EMT to triage • [Communication]
Preliminary Problems • Clutter in the patient observation and triage rooms • Can create additional stress on patients and family members
Conclusion • Seems to be a pretty efficient system • Would need to see more ERs for comparison
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?