1. Grady Emergency Room Visit -Janani Venugopalan -PhD Student Biomedical Engg.

2. Outline First Impressions Observations – Positives – Perceived bottlenecks Ideas for Improvement

3. Constant Movement

4. Entry to Treatment Care provided in 5 levels Severe cases transferred if needed Patient Waiting Outside Triage Triage Treatment

5. Promoted an environment of continuous improvement to patient care Board MonitorsElectronic Monitors

6. Elevated Noise Levels in the Patient Waiting Area & Entrance

7. Sample Emergency Room Floor Plan

8. Role specific functions Adult & Pediatric unit adjacent Navigator Door Sizes Small Communication among nurses Not much patient vision

9. Functions for each role is well defined and documented

10. Fixed treatment procedure

11. Adult & pediatric units adjacent to each other and connected by a door Pediatric Trauma UnitAdult Trauma Unit

12. Navigator Specialized role to help patient transfer to other units if required Continuum of care

13. Role specific functions Planned treatment Adult & Pediatric unit adjacent Navigator Door Sizes Small Communication among nurses Not much patient vision

14. Distributed nurse stations Nurse stations distributed & at inconvenient locations. Not conducive for communication

15. Door Sizes in new ward small Towards patient & wheelchair friendly design

16. Should move towards designs to improve patient monitoring by nurses

17. Communication Structure

18. Use of current technologies to improve communications

19. Improve patient visibility Improve accessibility Reduce noise