Optimizing Emergency Department Throughput

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Optimizing Emergency Department Throughput

John M. Shiver,David Eitel
Optimizing Emergency Department Throughput Book PDF

Author : John M. Shiver,David Eitel
Publisher : CRC Press
Page : 260 pages
File Size : 51,8 Mb
Release : 2009-12-28
Category : Medical
ISBN : 1420084976

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Optimizing Emergency Department Throughput by John M. Shiver,David Eitel Pdf

Across the country ambulances are turned away from emergency departments (EDs) and patients are waiting hours and sometimes days to be admitted to a hospital room. Hospitals are finding it hard to get specialist physicians to come to treat emergency patients. Our EDs demand a new way of thinking. They are not at a tipping point; they are at a breaking point. Under current loads and trends they are going to begin to break and these breakdowns will be painful and ultimately dangerous to society. Recognizing that the ideal in health care is presently beyond our immediate grasp, this book instead focuses on providing health care leaders with the tools they can employ to optimize the performance of EDs and thereby improve service to patients, employees, and communities. Written by 20 of the most progressive and successful health care reformers in the country, the approaches described can be utilized to quantify improvements, enhance predictability of workflow, and improve staff scheduling. The data derived using these techniques can serve as powerful evidence in support of change. While a common discussion among ED professionals is the perception that many patients are not really emergency patients and could be treated in another setting at another time, that argument is not germane until we as a nation elect to reform the way we chose to deliver healthcare to the underserviced. In the meantime this book provides invalauable information to help individual hospitals to retool their ED’s. It offers new approaches that think outside of the box for all stakeholders. It also provides the statistical evidence that administrators need to make their cases for changes and added resources. It will help you forecast the demand for services and give your center an approach that will allow the ED to become a source of income rather than one that continues to hemorrhage needed limited health care funding.

Emergency Department Leadership and Management

Stephanie Kayden,Philip D. Anderson,Robert Freitas,Elke Platz
Emergency Department Leadership and Management Book PDF

Author : Stephanie Kayden,Philip D. Anderson,Robert Freitas,Elke Platz
Publisher : Cambridge University Press
Page : 375 pages
File Size : 47,6 Mb
Release : 2014-11-27
Category : Medical
ISBN : 9781107007390

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Emergency Department Leadership and Management by Stephanie Kayden,Philip D. Anderson,Robert Freitas,Elke Platz Pdf

Written for a global audience, by an international team, the book provides practical, case-based emergency department leadership skills.

Hospital-Based Emergency Care

Institute of Medicine,Board on Health Care Services,Committee on the Future of Emergency Care in the United States Health System
Hospital Based Emergency Care Book PDF

Author : Institute of Medicine,Board on Health Care Services,Committee on the Future of Emergency Care in the United States Health System
Publisher : National Academies Press
Page : 424 pages
File Size : 44,7 Mb
Release : 2007-05-03
Category : Medical
ISBN : 9780309133777

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Hospital-Based Emergency Care by Institute of Medicine,Board on Health Care Services,Committee on the Future of Emergency Care in the United States Health System Pdf

Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: • The role and impact of the emergency department within the larger hospital and health care system. • Patient flow and information technology. • Workforce issues across multiple disciplines. • Patient safety and the quality and efficiency of emergency care services. • Basic, clinical, and health services research relevant to emergency care. • Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.

Optimizing Patient Flow

Eugene Litvak
Optimizing Patient Flow Book PDF

Author : Eugene Litvak
Publisher : Unknown
Page : 200 pages
File Size : 47,9 Mb
Release : 2018
Category : Hospital care
ISBN : 1635850401

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Optimizing Patient Flow by Eugene Litvak Pdf

Optimizing patient flow : advanced strategies for managing variability to enhance access, quality, and safety offers readers innovate techniques for maximizing patient flow and improving operations management while providing clear examples of successful impementation. This all-new book can help health care organizations to reduce and manage variability, thereby increasing the reliablity of systems and processes and improving health care quality and safety.

Advance Your Emergency Department

Stephanie J. Baker
Advance Your Emergency Department Book PDF

Author : Stephanie J. Baker
Publisher : Fire Starter Publishing
Page : 219 pages
File Size : 55,6 Mb
Release : 2012-09-26
Category : Medical
ISBN : 0982850352

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Advance Your Emergency Department by Stephanie J. Baker Pdf

There's never been so much opportunity for your Emergency Department to shine. These are critical days for healthcare. We know more about optimizing quality and saving lives than at any point in history. At the same time, cost pressures have never been greater. Add in higher-than-ever patient expectations and the message is clear: Hospitals that can learn to do more with less will thrive. Those that can't may not even exist a few years from now. The Emergency Department plays a pivotal role in how your hospital adapts to our new reality. This book offers a wealth of tools and tactics aimed at helping you get results more efficiently, effectively, and collaboratively. Master them and you'll improve quality, exceed patient expectations, and ultimately, help the entire organization maintain and grow its profit margin. You'll learn how to: * Diagnose flow challenges and redesign systems to make them far more efficient; * Align ED goals with other key areas and weight them to drive performance; * Hardwire advanced communication tools that calm and reassure patients, reduce LWBS rates, and minimize preventable readmissions; * Engage physicians and collaborate with hospitalists for optimal patient safety; and * Drive collaboration within the ED, the larger hospital, and the community. World-class Emergency Departments don't follow. They lead. When you commit to building and sustaining an agile, high-performing ED, you'll not only fulfill your mission of serving patients and saving lives, you'll light the way for your entire hospital to prosper in the new era.

Patient Flow

Randolph Hall
Patient Flow Book PDF

Author : Randolph Hall
Publisher : Springer Science & Business Media
Page : 553 pages
File Size : 46,7 Mb
Release : 2013-12-11
Category : Business & Economics
ISBN : 9781461495123

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Patient Flow by Randolph Hall Pdf

This book is dedicated to improving healthcare through reducing delays experienced by patients. With an interdisciplinary approach, this new edition, divided into five sections, begins by examining healthcare as an integrated system. Chapter 1 provides a hierarchical model of healthcare, rising from departments, to centers, regions and the “macro system.” A new chapter demonstrates how to use simulation to assess the interaction of system components to achieve performance goals, and Chapter 3 provides hands-on methods for developing process models to identify and remove bottlenecks, and for developing facility plans. Section 2 addresses crowding and the consequences of delay. Two new chapters (4 and 5) focus on delays in emergency departments, and Chapter 6 then examines medical outcomes that result from waits for surgeries. Section 3 concentrates on management of demand. Chapter 7 presents breakthrough strategies that use real-time monitoring systems for continuous improvement. Chapter 8 looks at the patient appointment system, particularly through the approach of advanced access. Chapter 9 concentrates on managing waiting lists for surgeries, and Chapter 10 examines triage outside of emergency departments, with a focus on allied health programs Section 4 offers analytical tools and models to support analysis of patient flows. Chapter 11 offers techniques for scheduling staff to match patterns in patient demand. Chapter 12 surveys the literature on simulation modeling, which is widely used for both healthcare design and process improvement. Chapter 13 is new and demonstrates the use of process mapping to represent a complex regional trauma system. Chapter 14 provides methods for forecasting demand for healthcare on a region-wide basis. Chapter 15 presents queueing theory as a method for modeling waits in healthcare, and Chapter 16 focuses on rapid delivery of medication in the event of a catastrophic event. Section 5 focuses on achieving change. Chapter 17 provides a diagnostic for assessing the state of a hospital and using the state assessment to select improvement strategies. Chapter 18 demonstrates the importance of optimizing care as patients transition from one care setting to the next. Chapter 19 is new and shows how to implement programs that improve patient satisfaction while also improving flow. Chapter 20 illustrates how to evaluate the overall portfolio of patient diagnostic groups to guide system changes, and Chapter 21 provides project management tools to guide the execution of patient flow projects.

Advance Your Emergency Department

Stephanie J. Baker,Regina Shupe,Dan Smith (Emergency physician)
Advance Your Emergency Department Book PDF

Author : Stephanie J. Baker,Regina Shupe,Dan Smith (Emergency physician)
Publisher : Unknown
Page : 164 pages
File Size : 50,9 Mb
Release : 2013-07-19
Category : Medical
ISBN : 1622180178

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Advance Your Emergency Department by Stephanie J. Baker,Regina Shupe,Dan Smith (Emergency physician) Pdf

There's never been so much opportunity for your Emergency Department to shine. These are critical days for healthcare. We know more about optimizing quality and saving lives than at any point in history. At the same time, cost pressures have never been greater. Add in higher-than-ever patient expectations and the message is clear: Hospitals that can learn to do more with less will thrive. Those that can't may not even exist a few years from now. The Emergency Department plays a pivotal role in how your hospital adapts to our new reality. This book offers a wealth of tools and tactics aimed at helping you get results more efficiently, effectively, and collaboratively. Master them and you'll improve quality, exceed patient expectations, and ultimately, help the entire organization maintain and grow its profit margin. You'll learn how to: * Diagnose flow challenges and redesign systems to make them far more efficient; * Align ED goals with other key areas and weight them to drive performance; * Hardwire advanced communication tools that calm and reassure patients, reduce LWBS rates, and minimize preventable readmissions; * Engage physicians and collaborate with hospitalists for optimal patient safety; and * Drive collaboration within the ED, the larger hospital, and the community. World-class Emergency Departments don't follow. They lead. When you commit to building and sustaining an agile, high-performing ED, you'll not only fulfill your mission of serving patients and saving lives, you'll light the way for your entire hospital to prosper in the new era.

Optimizing Hospital-wide Patient Scheduling

Daniel Gartner
Optimizing Hospital wide Patient Scheduling Book PDF

Author : Daniel Gartner
Publisher : Springer
Page : 119 pages
File Size : 49,7 Mb
Release : 2015-05-23
Category : Business & Economics
ISBN : 9783319040660

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Optimizing Hospital-wide Patient Scheduling by Daniel Gartner Pdf

Diagnosis-related groups (DRGs) are used in hospitals for the reimbursement of inpatient services. The assignment of a patient to a DRG can be distinguished into billing- and operations-driven DRG classification. The topic of this monograph is operations-driven DRG classification, in which DRGs of inpatients are employed to improve contribution margin-based patient scheduling decisions. In the first part, attribute selection and classification techniques are evaluated in order to increase early DRG classification accuracy. Employing mathematical programming, the hospital-wide flow of elective patients is modelled taking into account DRGs, clinical pathways and scarce hospital resources. The results of the early DRG classification part reveal that a small set of attributes is sufficient in order to substantially improve DRG classification accuracy as compared to the current approach of many hospitals. Moreover, the results of the patient scheduling part reveal that the contribution margin can be increased as compared to current practice.

The Definitive Guide to Emergency Department Operational Improvement

Jody Crane MD MBA,Chuck Noon PhD
The Definitive Guide to Emergency Department Operational Improvement Book PDF

Author : Jody Crane MD MBA,Chuck Noon PhD
Publisher : CRC Press
Page : 344 pages
File Size : 47,7 Mb
Release : 2017-07-27
Category : Business & Economics
ISBN : 9781439895382

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The Definitive Guide to Emergency Department Operational Improvement by Jody Crane MD MBA,Chuck Noon PhD Pdf

In a unique and integrated approach, The Definitive Guide to Emergency Department Operational Improvement: Employing Lean Principles with Current ED Best Practices to Create the "No Wait" Department exposes you to the academics behind managing the complex service environment that is the ED. The book combines applied management science and ED experi

Risk Management in Emergency Medicine, An Issue of Emergency Medicine Clinics of North America

Lauren M. Nentwich,Jonathan S. Olshaker
Risk Management in Emergency Medicine An Issue of Emergency Medicine Clinics of North America Book PDF

Author : Lauren M. Nentwich,Jonathan S. Olshaker
Publisher : Elsevier Health Sciences
Page : 305 pages
File Size : 55,9 Mb
Release : 2020-06-02
Category : Medical
ISBN : 9780323789509

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Risk Management in Emergency Medicine, An Issue of Emergency Medicine Clinics of North America by Lauren M. Nentwich,Jonathan S. Olshaker Pdf

This issue of Emergency Medicine Clinics, guest edited by Drs. Lauren Nentwich and Jonathan Olshaker, focuses on Risk Management in Emergency Medicine. This is one of four issues each year selected by the series consulting editor, Dr. Amal Mattu. Articles in this issue include, but are not limited to: Surviving a Medical Malpractice Lawsuit, Communication and Documentation, Physician Well-Being, Emergency Department Operations I: EMS and Patient Arrival, Emergency Department Operations II: Patient Flow, Confidentiality & Capacity, Supervision of Resident Physicians & Advanced Practice Providers, Evaluation of the Psychiatric Patient, Physical and chemical restraints, High-Risk Pediatric Emergencies, The High-Risk Airway, High-Risk Chief Complaints I: Chest pain, High-Risk Chief Complaints II: Abdomen Pain and Extremity Injuries, High-Risk Chief Complaints III: Neurologic Emergencies, and Mitigating Clinical Risk through Simulation.

Textbook of Patient Safety and Clinical Risk Management

Liam Donaldson,Walter Ricciardi,Susan Sheridan,Riccardo Tartaglia
Textbook of Patient Safety and Clinical Risk Management Book PDF

Author : Liam Donaldson,Walter Ricciardi,Susan Sheridan,Riccardo Tartaglia
Publisher : Springer Nature
Page : 496 pages
File Size : 41,7 Mb
Release : 2020-12-14
Category : Medical
ISBN : 9783030594039

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Textbook of Patient Safety and Clinical Risk Management by Liam Donaldson,Walter Ricciardi,Susan Sheridan,Riccardo Tartaglia Pdf

Implementing safety practices in healthcare saves lives and improves the quality of care: it is therefore vital to apply good clinical practices, such as the WHO surgical checklist, to adopt the most appropriate measures for the prevention of assistance-related risks, and to identify the potential ones using tools such as reporting & learning systems. The culture of safety in the care environment and of human factors influencing it should be developed from the beginning of medical studies and in the first years of professional practice, in order to have the maximum impact on clinicians' and nurses' behavior. Medical errors tend to vary with the level of proficiency and experience, and this must be taken into account in adverse events prevention. Human factors assume a decisive importance in resilient organizations, and an understanding of risk control and containment is fundamental for all medical and surgical specialties. This open access book offers recommendations and examples of how to improve patient safety by changing practices, introducing organizational and technological innovations, and creating effective, patient-centered, timely, efficient, and equitable care systems, in order to spread the quality and patient safety culture among the new generation of healthcare professionals, and is intended for residents and young professionals in different clinical specialties.

Emergency Department Operations and Administration, An Issue of Emergency Medicine Clinics of North America

Joshua Joseph,Benjamin White
Emergency Department Operations and Administration An Issue of Emergency Medicine Clinics of North America Book PDF

Author : Joshua Joseph,Benjamin White
Publisher : Elsevier Health Sciences
Page : 209 pages
File Size : 48,5 Mb
Release : 2020-07-16
Category : Medical
ISBN : 9780323733649

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Emergency Department Operations and Administration, An Issue of Emergency Medicine Clinics of North America by Joshua Joseph,Benjamin White Pdf

This issue of Emergency Medicine Clinics, guest edited by Joshua Joseph and Benjamin White, focuses on Emergency Department Operations and Administration. Topics include: Emergency Department Operations Overview; Queuing Theory and Modeling ED Resource Utilization; Factors Affecting ED Crowding; Staffing and Provider Productivity in the ED; Patient Assignment Models in the ED; ED Layout and Organization; Lean Processes in the ED; ED Observation and Alternatives to Admission; Quality Assurance in the ED; Information Management in the ED; Best Practices in Communication and Patient Safety; Optimizing Patient Experience in the ED; Management of the Academic ED; and Strategies for Provider Well-being in the ED.

Hospital Management and Emergency Medicine: Breakthroughs in Research and Practice

Management Association, Information Resources
Hospital Management and Emergency Medicine Breakthroughs in Research and Practice Book PDF

Author : Management Association, Information Resources
Publisher : IGI Global
Page : 627 pages
File Size : 49,9 Mb
Release : 2020-02-07
Category : Medical
ISBN : 9781799824527

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Hospital Management and Emergency Medicine: Breakthroughs in Research and Practice by Management Association, Information Resources Pdf

Improvements in hospital management and emergency medical and critical care services require continual attention and dedication to ensure efficient and proper care for citizens. To support this endeavor, professionals rely more and more on the application of information systems and technologies to promote the overall quality of modern healthcare. Implementing effective technologies and strategies ensures proper quality and instruction for both the patient and medical practitioners. Hospital Management and Emergency Medicine: Breakthroughs in Research and Practice examines the latest scholarly material on emerging strategies and methods for delivering optimal emergency medical care and examines the latest technologies and tools that support the development of efficient emergency departments and hospital staff. While highlighting the challenges medical practitioners and healthcare professionals face when treating patients and striving to optimize their processes, the book shows how revolutionary technologies and methods are vastly improving how healthcare is implemented globally. Highlighting a range of topics such as overcrowding, decision support systems, and patient safety, this publication is an ideal reference source for hospital directors, hospital staff, emergency medical services, paramedics, medical administrators, managers and employees of health units, physicians, medical students, academicians, and researchers seeking current research on providing optimal care in emergency medicine.

Handbook of Healthcare Operations Management

Brian T. Denton
Handbook of Healthcare Operations Management Book PDF

Author : Brian T. Denton
Publisher : Springer Science & Business Media
Page : 542 pages
File Size : 55,5 Mb
Release : 2013-02-28
Category : Business & Economics
ISBN : 9781461458852

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Handbook of Healthcare Operations Management by Brian T. Denton Pdf

From the Preface: Collectively, the chapters in this book address application domains including inpatient and outpatient services, public health networks, supply chain management, and resource constrained settings in developing countries. Many of the chapters provide specific examples or case studies illustrating the applications of operations research methods across the globe, including Africa, Australia, Belgium, Canada, the United Kingdom, and the United States. Chapters 1-4 review operations research methods that are most commonly applied to health care operations management including: queuing, simulation, and mathematical programming. Chapters 5-7 address challenges related to inpatient services in hospitals such as surgery, intensive care units, and hospital wards. Chapters 8-10 cover outpatient services, the fastest growing part of many health systems, and describe operations research models for primary and specialty care services, and how to plan for patient no-shows. Chapters 12 – 16 cover topics related to the broader integration of health services in the context of public health, including optimizing the location of emergency vehicles, planning for mass vaccination events, and the coordination among different parts of a health system. Chapters 17-18 address supply chain management within hospitals, with a focus on pharmaceutical supply management, and the challenges of managing inventory for nursing units. Finally, Chapters 19-20 provide examples of important and emerging research in the realm of humanitarian logistics.

Hospital Operations

Wallace J. Hopp,William S. Lovejoy
Hospital Operations Book PDF

Author : Wallace J. Hopp,William S. Lovejoy
Publisher : FT Press
Page : 638 pages
File Size : 41,5 Mb
Release : 2012-10-30
Category : Business & Economics
ISBN : 9780132908702

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Hospital Operations by Wallace J. Hopp,William S. Lovejoy Pdf

By one estimate, the U.S. wastes $480 billion annually on healthcare expenditures that don’t improve care. Worse, because of faulty systems – not personnel – up to 98,000 people die every year due to preventable medical errors – and that doesn’t count non-terminal events such as hospital-acquired infections. In Hospital Operations, two leading operations management experts and four senior physicians demonstrate how to apply new OM advances to substantially improve any hospital’s operational, clinical, and financial performance. Replete with examples, this bookshows how to diagram hospital flows, trace interconnections, and optimize flows for better performance. Readers will find specific guidance on improving emergency departments, operating rooms, hospital floors, and diagnostic units; and successfully applying metrics. Coverage includes: reducing ER overcrowding and enhancing patient safety...improving OR scheduling, enhancing organizational learning, and responding to surgeons and other stakeholders... improving bed availability, optimizing nurse schedules, and creating more seamless patient handoffs... reducing lab turnaround time, improving imaging responsiveness, and decreasing lab errors...successfully applying the right metrics for every facet of hospital performance. The authors conclude by previewing the "Hospital of the Future," addressing issues ranging from prevention and self-care to the evolution of technology and evidence-based medicine.