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The definitive guide to emergency department operational improvement : employing lean principles with current ED best practices to create the "no wait" department / Jody Crane, Chuck Noon.

By: Contributor(s): Material type: TextTextPublication details: Boca Raton : CRC Press, c2011.Description: xv, 337 p. : ill., portsISBN:
  • 9781439808405 (pbk. : alk. paper)
Subject(s): NLM classification:
  • 2011 G-007
  • WX 215
Summary: "Emergency departments were never designed to be the walk-in clinics they have become; yet with so many having nowhere else to turn for care, they have become cauldrons of resentment in which neither the best needs of patient or hospital are served. Offering a solution to this fiscal and medical madness, this step-by-step guide shows how the application of lean principles can lead to more efficient, cost-effective, and patient friendly departments. It brings together leading experts who demonstrate the unique application of lean tools and concepts to hospital operations and looks at those hospitals that have put this innovative approach into action"--Provided by publisher.Summary: "The book opens with an overview of the state of emergency medicine. This is an important foundation that will help us to understanding the current mess we're in and how to become a learning organization, a community of scientists. This introduction is followed by an in-depth presentation of the tools used in Lean healthcare, queuing theory, basic and advanced flow concepts, and the theory of constraints. We consider these critical building blocks that frame the way we look at ED operations, and we will use this as our basis for ongoing improvement. This academic framework will be followed by a walk-through analysis of best practices in emergency medicine, what they are, and why they work. These will be presented in a flow-based manner with the three commonly referenced intervals in the ED: door to doc (input), doc to disposition (throughput), disposition to departure (output). Finally, we will cover what we feel is the most important element of ED operations: change management. We will present a framework to approach changing one of the most complex and immovable cultures that exists-- medicine. Within this framework, we will discuss change management, leadership, dealing with resistance, and other critical elements of operational improvement, along with five case studies that show how your peers have applied these principles to transform their EDs. Throughout the book, we will provide many examples of the academia applied in the real world, just to show you that this is not just a book. It is a how-to guide that works. We know many readers either will think they know all of the academic material or may simply want to skip ahead to the "beef" of the book"--Provided by publisher.
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Item type Current library Home library Shelving location Call number Copy number Status Notes Date due Barcode Item holds
4 Week Loan HLI HQ [Dr. Steevens Hospital Dublin] HLI HQ [Dr. Steevens Hospital Dublin] Book 362.11068 CRA (Browse shelf(Opens below)) 1 Available 303795
4 Week Loan Midland Regional Hospital Library Mullingar Midland Regional Hospital Library Mullingar 362.11068 CRA (Browse shelf(Opens below)) Available TT15004
4 Week Loan Midland Regional Hospital Library Tullamore Midland Regional Hospital Library Tullamore Loan collection MRH Tullamore 362.11068 CRA (Browse shelf(Opens below)) Available TT15003
4 Week Loan Naas General Hospital Library Naas General Hospital Library Book 362.11068 CRA (Browse shelf(Opens below)) 1 Available MANAGEMENT 303796
2 Week Loan Our Lady of Lourdes Hospital Library, Drogheda Our Lady of Lourdes Hospital Library, Drogheda Our Lady of Lourdes Hospital, Drogheda 616.025 (Browse shelf(Opens below)) Available DR09710
4 Week Loan Sligo University Hospital Sligo University Hospital Sligo University Hospital - Loan Stock 616.025 (Browse shelf(Opens below)) Available 06171
4 Week Loan St. Conal’s Hospital, Letterkenny St. Conal’s Hospital, Letterkenny Letterkenny University Hospital Library RA975.5.E5C72 2011 (Browse shelf(Opens below)) Available B05510
4 Week Loan St. Luke's General Hospital Kilkenny St. Luke's General Hospital Kilkenny Lost 362.1068 (Browse shelf(Opens below)) 1 Available 033126
4 Week Loan Wexford General Hospital Wexford General Hospital Open Shelves 362.1068 (Browse shelf(Opens below)) 1 Not for Loan 034155
Total holds: 0

Includes bibliographical references and index.

"Emergency departments were never designed to be the walk-in clinics they have become; yet with so many having nowhere else to turn for care, they have become cauldrons of resentment in which neither the best needs of patient or hospital are served. Offering a solution to this fiscal and medical madness, this step-by-step guide shows how the application of lean principles can lead to more efficient, cost-effective, and patient friendly departments. It brings together leading experts who demonstrate the unique application of lean tools and concepts to hospital operations and looks at those hospitals that have put this innovative approach into action"--Provided by publisher.

"The book opens with an overview of the state of emergency medicine. This is an important foundation that will help us to understanding the current mess we're in and how to become a learning organization, a community of scientists. This introduction is followed by an in-depth presentation of the tools used in Lean healthcare, queuing theory, basic and advanced flow concepts, and the theory of constraints. We consider these critical building blocks that frame the way we look at ED operations, and we will use this as our basis for ongoing improvement. This academic framework will be followed by a walk-through analysis of best practices in emergency medicine, what they are, and why they work. These will be presented in a flow-based manner with the three commonly referenced intervals in the ED: door to doc (input), doc to disposition (throughput), disposition to departure (output). Finally, we will cover what we feel is the most important element of ED operations: change management. We will present a framework to approach changing one of the most complex and immovable cultures that exists-- medicine. Within this framework, we will discuss change management, leadership, dealing with resistance, and other critical elements of operational improvement, along with five case studies that show how your peers have applied these principles to transform their EDs. Throughout the book, we will provide many examples of the academia applied in the real world, just to show you that this is not just a book. It is a how-to guide that works. We know many readers either will think they know all of the academic material or may simply want to skip ahead to the "beef" of the book"--Provided by publisher.

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