Vose Courtney, Reichard Christine, Pool Susan, Snyder Megan, Burmeister David
Author Affiliations: Administrator, Patient Care Services (Ms Vose); Administrative Partner, Patient Care Services (Ms Reichard); Systems Analyst, Care Continuum (Ms Pool); Director, Patient Care Services (Ms Snyder); Chair, Department of Emergency Medicine (Dr Burmeister), Lehigh Valley Health Network, Allentown, Pennsylvania.
J Nurs Adm. 2014 Nov;44(11):558-63. doi: 10.1097/NNA.0000000000000098.
Emergency department (ED) overcrowding is an organizational concern. This article describes how Toyota LEAN methods were used as a performance improvement framework to address ED overcrowding. This initiative also impacted "bolus of patients" or "batching" concerns, which occur when inpatient units receive an influx of patients from EDs and other areas at the same time. In addition to decreased incidence of overcrowding, the organization realized increased interprofessional collaboration.
急诊科过度拥挤是一个机构层面的问题。本文描述了丰田精益方法如何被用作一种绩效改进框架来解决急诊科过度拥挤的问题。该举措还对“患者批量涌入”或“集中收治”问题产生了影响,这种情况发生在住院科室同时接收来自急诊科和其他区域的大量患者时。除了过度拥挤的发生率降低之外,该机构还实现了跨专业协作的增加。