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Grady Emergency Room Visit

Grady Emergency Room Visit

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Grady Emergency Room Visit

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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