RunningHead:C792Task1:PartB
i i i i i i
C792Task1:PartB David
i i i i i ii
Conder
ii
WesternGovernorsUniversity
i i
, RunningHead:C792Task1:PartB i i i i i i
Task1:B i i
B. ExplanationofWorkflowAspects
i i i i i
In the workflow analysis, the use of several shapes to precisely define each step of the workflow
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii involving ESI level 3 patients.The starting and endpoints of the workflow both use an ovalto signify the
ii ii ii ii i ii ii ii ii ii ii ii ii ii ii i ii ii
start orterminationof theworkflow process.Ateachstepin theprocess,aline connector is used to signify
i ii i i i ii ii i i ii ii ii ii i i ii ii ii ii ii
ii the relationship between the levels, provide information on the number of patients (“N”), and the mean
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii time to complete (“M”). The process shown is the patient flow through the emergency department,
ii ii ii ii ii ii ii ii i i ii ii ii ii ii
ii consisting of five patients with an emergency severity index (ESI) level 3. ii ii ii ii ii ii ii ii ii ii ii
The first process in the workflow is the patient being registered into the health information
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
system(HIS) by thereceptionist.Process stepsare symbolizedwitha rectangleand makeupthe
ii i i i i ii ii ii ii ii i ii i ii i i
majorityoftheworkflow.Theregistrationprocesshasameantimeof21.4minutes for each patient
i i i i i i i i i ii i i i i ii ii ii
ii presenting for treatment. ii ii
Afterbeingregistered,thepatientswaituntilthetriagenurseisavailable.Duringthis step in the
i ii i i i ii ii i i i i i ii ii ii ii
ii workflow analysis, the patients’wait had a mean time of 32.6 minutes. Delays in the workflow,
ii ii ii i ii ii ii ii ii ii ii ii ii ii ii
ii specifically where patients are waiting, are symbolized with a trapezoid shape. ii ii ii ii ii ii ii ii ii ii
Next, the triage nurse initiates the patient chart. Steps involving documents or data which can be
i i i i i i i ii ii ii i i ii ii ii
ii reviewed by the staff are symbolized with the document shape (rectangle with s-curve on the bottom).
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii For the patients in this process analysis, the mean time to complete this step was
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
24.8minutes.Thetriagenurse would thenescortthepatientto the EDbed andgive areportto the ED
ii i ii ii ii ii ii ii ii i ii ii i ii i ii ii i ii ii
ii nurse (mean time 14.8 minutes), where the patient would wait for an additional 43.2 minutes before the
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii examination by the ED provider, who averages 17.8 minutes with each patient. ii ii ii ii ii ii ii ii ii ii ii
i i i i i i
C792Task1:PartB David
i i i i i ii
Conder
ii
WesternGovernorsUniversity
i i
, RunningHead:C792Task1:PartB i i i i i i
Task1:B i i
B. ExplanationofWorkflowAspects
i i i i i
In the workflow analysis, the use of several shapes to precisely define each step of the workflow
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii involving ESI level 3 patients.The starting and endpoints of the workflow both use an ovalto signify the
ii ii ii ii i ii ii ii ii ii ii ii ii ii ii i ii ii
start orterminationof theworkflow process.Ateachstepin theprocess,aline connector is used to signify
i ii i i i ii ii i i ii ii ii ii i i ii ii ii ii ii
ii the relationship between the levels, provide information on the number of patients (“N”), and the mean
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii time to complete (“M”). The process shown is the patient flow through the emergency department,
ii ii ii ii ii ii ii ii i i ii ii ii ii ii
ii consisting of five patients with an emergency severity index (ESI) level 3. ii ii ii ii ii ii ii ii ii ii ii
The first process in the workflow is the patient being registered into the health information
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
system(HIS) by thereceptionist.Process stepsare symbolizedwitha rectangleand makeupthe
ii i i i i ii ii ii ii ii i ii i ii i i
majorityoftheworkflow.Theregistrationprocesshasameantimeof21.4minutes for each patient
i i i i i i i i i ii i i i i ii ii ii
ii presenting for treatment. ii ii
Afterbeingregistered,thepatientswaituntilthetriagenurseisavailable.Duringthis step in the
i ii i i i ii ii i i i i i ii ii ii ii
ii workflow analysis, the patients’wait had a mean time of 32.6 minutes. Delays in the workflow,
ii ii ii i ii ii ii ii ii ii ii ii ii ii ii
ii specifically where patients are waiting, are symbolized with a trapezoid shape. ii ii ii ii ii ii ii ii ii ii
Next, the triage nurse initiates the patient chart. Steps involving documents or data which can be
i i i i i i i ii ii ii i i ii ii ii
ii reviewed by the staff are symbolized with the document shape (rectangle with s-curve on the bottom).
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii For the patients in this process analysis, the mean time to complete this step was
ii ii ii ii ii ii ii ii ii ii ii ii ii ii
24.8minutes.Thetriagenurse would thenescortthepatientto the EDbed andgive areportto the ED
ii i ii ii ii ii ii ii ii i ii ii i ii i ii ii i ii ii
ii nurse (mean time 14.8 minutes), where the patient would wait for an additional 43.2 minutes before the
ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii ii
ii examination by the ED provider, who averages 17.8 minutes with each patient. ii ii ii ii ii ii ii ii ii ii ii
