Grady Emergency Room Visit -Janani Venugopalan -PhD Student Biomedical Engg.
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Transcript of Grady Emergency Room Visit -Janani Venugopalan -PhD Student Biomedical Engg.
Grady Emergency Room Visit-Janani Venugopalan
-PhD Student Biomedical Engg.
Outline
• First Impressions
• Observations– Positives– Perceived bottlenecks
• Ideas for Improvement
Constant Movement
Entry to Treatment
•Care provided in 5 levels•Severe cases transferred if needed
Patient Waiting
Outside Triage
Triage
Treatment
Promoted an environment of continuous improvement to patient care
Board Monitors Electronic Monitors
Elevated Noise Levels in the Patient Waiting Area & Entrance
Sample Emergency Room Floor Plan
•Role specific functions•Adult & Pediatric unit adjacent•Navigator
•Door Sizes Small•Communication among nurses•Not much patient vision
Functions for each role is well defined and documented
Fixed treatment procedure
Adult & pediatric units adjacent to each other and connected by a door
Pediatric Trauma UnitAdult Trauma Unit
Navigator
• Specialized role to help patient transfer to other units if required
• Continuum of care
•Role specific functions•Planned treatment•Adult & Pediatric unit adjacent•Navigator
•Door Sizes Small•Communication among nurses•Not much patient vision
Distributed nurse stations
Nurse stations distributed & at inconvenient locations. Not conducive for communication
Door Sizes in new ward small
Towards patient & wheelchair friendly design
Should move towards designs to improve patient monitoring by nurses
•Communication
•Structure
Use of current technologies to improve communications
•Improve patient visibility•Improve accessibility•Reduce noise