ER

Reducing wait time despite an increase in patient volume using Lean strategy in the Emergency Department

20180402 Lean ER 4 hospitals.JPG

last post was on ER, here's examples and explanation what's required for any emergency room learning Lean Healthcare including Alberta Health Services

 

Note the requirement for *commitment at the top senior level*

- & engaging front line employees.

 

HEALTH POLICY AND CLINICAL PRACTICE/ORIGINAL RESEARCH Use of Lean in the Emergency Department: A Case Series of 4 Hospitals https://createvalue.org/wp-content/uploads/2010/01/lean-ER-Annals.pdf

 

If you don't think it's your obligation to provide these healthcare services; consider one day you will be the patient relying on them. 

(or waiting without)

Start now.

MRI wait time reduction example to follow.

Can make a pdf copy available & answer questions on how this is done.

Emergency Room visit 2

20180402 emerg 2.JPG

Mon Apr 2, 2018

- 16 days after injury

 

Noticed ankle swollen when waking up, paid attention to it and see if it goes away with movement over day.

 

Head to emergency Alberta Health Services after work, another 2 hours wait time *which could be reduced through a Rapid Improvement Event. 

Plenty of examples where this has been done, can be done in Alberta too.  Ask me it's what I do

 

Guy beside me had eye injury not wearing safety glasses & nail puncturing eye.  No requirement for safety glasses at their construction site - really?  Look out for your people!

 

Liked the doctor who helped me, he seemed to understand what was going on and was a bit disappointed with the lack of direction I received so far.

 

Things checked out ok,

I requested he provide something for the GP (in pic) - not sure what all it says - or if sometimes healthcare mistakes are made from misunderstandings on what's written!

I think it says:

 

"Seen here.  Has O/P  MKS ultrasound done mid march for skiing injury to L knee then seen again for swelling L leg & O/P u/s superficial thromboph______ L leg. 

___________ RX _____ + has follow up u/s booked tomorrow am _____ advised if increased swelling L leg + ankle _______ ____________ ________  _______ ____ ____ _____ 99% RA R calf 38cm  L calf 39.5cm ........

 

........

_____ ibuprofen 400mg

.......

have u/s + if toe start oral anticoagulation rivaroxaban 15mg ___ 21 days then 20mg daily x 3-6 weeks.

......

follow up (f/u) family MD after u/s"

 

glad I don't have to decipher on a regular basis - feel free to fill in any blanks/correct me/help finish decode.