The Portsmouth Lean Journey - Medical Emergeny Value Stream
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by Maria Purse of Portsmouth NHS Trust shown at the Lean Healthcare Forum on 15th October 2008 ran by the Lean Enterprise Academy
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Lean Six Sigma: Optimizing Patient Throughput & Increasing Patient Satisfaction
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Syllabus
Chapter-1
Introduction to objective, scope and outcome the subject
Chapter 2
Introduction: Scope and Specialization of Civil Engineering, Role of civil Engineer in Society, Impact of infrastructural development on economy of country.
Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
Linear Measurements: Instruments used. Linear Measurement by Tape, Ranging out Survey Lines and overcoming Obstructions; Measurements on sloping ground; Tape corrections, conventional symbols. Angular Measurements: Instruments used; Introduction to Compass Surveying, Bearings and Longitude & Latitude of a Line, Introduction to total station.
Levelling: Instrument used Object of levelling, Methods of levelling in brief, and Contour maps.
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Chapter 5
Transportation: Introduction to Transportation Engineering; Traffic and Road Safety: Types and Characteristics of Various Modes of Transportation; Various Road Traffic Signs, Causes of Accidents and Road Safety Measures.
Chapter 6
Environmental Engineering: Environmental Pollution, Environmental Acts and Regulations, Functional Concepts of Ecology, Basics of Species, Biodiversity, Ecosystem, Hydrological Cycle; Chemical Cycles: Carbon, Nitrogen & Phosphorus; Energy Flow in Ecosystems.
Water Pollution: Water Quality standards, Introduction to Treatment & Disposal of Waste Water. Reuse and Saving of Water, Rain Water Harvesting. Solid Waste Management: Classification of Solid Waste, Collection, Transportation and Disposal of Solid. Recycling of Solid Waste: Energy Recovery, Sanitary Landfill, On-Site Sanitation. Air & Noise Pollution: Primary and Secondary air pollutants, Harmful effects of Air Pollution, Control of Air Pollution. . Noise Pollution Harmful Effects of noise pollution, control of noise pollution, Global warming & Climate Change, Ozone depletion, Greenhouse effect
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1. Palancharmy, Basic Civil Engineering, McGraw Hill publishers.
2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
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- 1. Medical Emergency Value Stream Medical Patient Pathway Admission to discharge ED See & Treat ED STAR Diagnostic & Assessment Cell in MAU Support services Discharge Planning
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- 3. Medical Emergency Value Stream Future State GP FIFO Primary Diagnostics MPS OXOX Community Hospital X Ray Path’ Pharm’ OBS Decision Maker Home Referral Master Patient Scheduling 46 – 115 mins Home Secondary Diagnostics Spec Diagnostics & Treatment 95 – 282 mins 1525 – 7425 mins Proposed Future State VSM X Ray Path’ Pharm’ OBS Decision Maker
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