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Emergency Department

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Jatiana Fradue

on 6 January 2014

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Transcript of Emergency Department

Case Study
Technology and the Emergency Department
Group 3

Jack Allbritton
Emily Ariessohn
Layla Elmi
Jatiana Fradue-Kopacz
Osama Khan
Hannah McCabe
Rachel Stoermer
Carol Thivierge

Execution
In order to improve communication in the ED, tablets in will be implemented as a synchronization system into the work scheme. Updating the use of technologies in the ED will eliminate:
confusion
redundancy
wasted time
human error
Staffing and Costs of a 36 Bed ED
10 Beds require:
1 Physician
4 Nurses
3 assisting
1 leading
1 bedside tech
1 clerk
Our Innovation
ED Design
GANTT Chart
Emergency Department Application

Current Technology:
Vital sign screens
Background, order, and current treatment information

What We Are Adding:
Password protection
Automatic information clearing
Synchronization with the EASE-E system and other devices using the app
Patient feedback
Problem
The Process:
1. Patient arrives in the ED and immediately goes a kiosk in the kiosk area

2. Patient Scans their driver's license or legal identification card

3. A hospital ID with a scannable bar code is printed
How Do These Technologies Benefit the ED?
Improves wait times, especially for returning patients

Improves communication between the staff and departments

Stops unnecessary visits to ask questions
EAS-E
E
xpress
A
dmittance
S
ymptoms
E
ntry
Citations
Sources :


Ash, J., Berg, M., Coiera, E. (2003).Some unintended consequences of information technology in health care: the nature of patient
care information system-related errors. Journal of the American Medical Informatics Association. Retrieved from http://171.67.114.118/content/11/2/104.full

Bureau of Labor and Statistics. (March 29, 2012). Registered nurses. Retrieved from http://www.bls.gov/ooh/Healthcare/
Registered-nurses.htm

Bureau of Labor and Statistics. (March 29, 2012). Registered nurses. Retrieved from http://www.bls.gov/ooh/Healthcare/
Registered-nurses.htm

Horng S, Goss FR, Chen RS, Nathanson LA.. (2012). Prospective pilot study of a tablet computer in an emergency department.
National Center for Biotechnology Information. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/22226927

Horng S, Goss FR, Chen RS, Nathanson LA.. (2012). Prospective pilot study of a tablet computer in an emergency department.
National Center for Biotechnology Information. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/22226927

Massy, J. (2013). Emergency department tracks and streamlines patient and staff flow, leading to shorter treatment time, fewer
walkouts, and higher patient satisfaction. Agency for Healthcare Research and Quality. Retrieved from http://www.innovations.ahrq.gov/content.aspx?id=2111

Massy, J. (2013). Emergency department tracks and streamlines patient and staff flow, leading to shorter treatment time, fewer
walkouts, and higher patient satisfaction. Agency for Healthcare Research and Quality. Retrieved from http://www.innovations.ahrq.gov/content.aspx?id=2111

Special Thanks To
Nessrine Aziz (ADN)
Janice Davis (Senior Planner)
Elyse Sanchez (Senior Planning Analyst)
Toni Sarge (Special Projects, UC San Diego Government & Community Affairs)
Ken Seuberling (Principal Architect, UCSD)
Victoria Shumulinsky, (MHA Principal Planner)
Sally Young, Architect (Director Construction Project Department)
Staffing for a 36 bed facility:
15 Nurses...................$60,000*
4 Doctors....................$250,000*
4 Clerks.......................$35,000*
4 ER Tech.....................$60,000*
4 Receptionists..........$23,000*
4 Security...................$21,000*
3 Kiosk Clerks............$23,000*
Total Staffing Cost: $2,525,000

* Approximate Salary
Per Employee
Lack of Efficient Communication and High Patient Wait Times
Patients are left in the waiting room for long periods of time without receiving treatment

Patient satisfaction rates decrease as perceived wait times increase

Current communication and information systems are lacking

Doctors spend 30% of their time on gathering patients information

30% of medication errors occur due to a lack of knowledge about patient information
Goal

The goal is to modernize and advance the flow of the Emergency Department by implementing newer technologies, improving communication, reduce wait times, and increase patient satisfaction.
Costs of Building
28,920 (square footage) x 650 (per square foot)* x 1.2 (contingency costs)* x 1,4 (fees and management)*

Total:
$3,166,800

* Values provided by personal email correspondence with Architect Sally Young
Cost of Implementing Tablets
Confidentiality
53 iPad Minis (One for every bed and nurse on duty):$17,490
Any Questions?
Information wiped off of the at the end of shift but saved on a secure server.

Bar code is deactivated after discharge and nurses' access is blocked after shift.

Special measures have to be taken to regain access to files on the cloud

Web browsing, emails, and other applications are disabled

Data
https://docs.google.com/file/d/0B3EyPAfPkPy4WmQ0Y2lPNTVyUXc/edit?usp=sharing
Full transcript