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Redesign of emergency medicine

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By Dr Paul Jarvis of Calderdale Royal Hospital shown at the Lean Summit 2010 - New Horizons for Lean Thinking on 2/3 November 2010

Published in: Education, Business, Technology
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Redesign of emergency medicine

  1. 1. Dr Paul Jarvis Calderdale Royal Hospital
  2. 2.  >60 mins wait before initial assessment  10% of patient Did not wait  High number of complaints  Last minute decision making  Late consultant involvement
  3. 3.  What we thought was not true!  11am busiest time of day not 6pm  Takt time 6.5 mins
  4. 4.  Early streaming  Remove unnecessary steps  Remove/reduce waiting  Senior decision maker at front end
  5. 5.  Did not waits drop from 10% to 0.5%  Complaints down  9-5 sees a reduction of 40 patient hours
  6. 6.  Senior staff numbers  Flow in the rest of the hospital  Resistance to change  Escalation and action
  7. 7. Thanks Any Questions?

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