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Enhancing Patient Experience in a Busy Emergency Room

This study by Janani Venugopalan, a Biomedical Engineering PhD student, outlines first impressions, observations, positives, bottlenecks, and improvement ideas from an emergency room visit. It covers areas like constant movement and entry to treatment, roles and functions, noise levels, patient waiting, and care provided in different levels. Recommendations include better communication among nurses, larger door sizes, patient-friendly designs, and improving patient visibility through technology.

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Enhancing Patient Experience in a Busy Emergency Room

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  1. Grady Emergency Room Visit Janani Venugopalan PhD Student Biomedical Engg.

  2. Outline • First Impressions • Observations • Positives • Perceived bottlenecks • Ideas for Improvement

  3. Constant Movement

  4. Entry to Treatment Patient Waiting Outside Triage Treatment Triage • Care provided in 5 levels • Severe cases transferred if needed

  5. Promoted an environment of continuous improvement to patient care Board Monitors Electronic Monitors

  6. Elevated Noise Levels in the Patient Waiting Area & Entrance

  7. Sample Emergency Room Floor Plan

  8. Role specific functions • Adult & Pediatric unit adjacent • Navigator • Door Sizes Small • Communication among nurses • Not much patient vision

  9. Functions for each role is well defined and documented

  10. Fixed treatment procedure

  11. Adult & pediatric units adjacent to each other and connected by a door Adult Trauma Unit Pediatric Trauma Unit

  12. Navigator • Specialized role to help patient transfer to other units if required • Continuum of care

  13. Role specific functions • Planned treatment • Adult & Pediatric unit adjacent • Navigator • Door Sizes Small • Communication among nurses • Not much patient vision

  14. Distributed nurse stations Nurse stations distributed & at inconvenient locations. Not conducive for communication

  15. Door Sizes in new ward small Towards patient & wheelchair friendly design

  16. Should move towards designs to improve patient monitoring by nurses

  17. Communication • Structure

  18. Use of current technologies to improve communications

  19. Improve patient visibility • Improve accessibility • Reduce noise

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