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Using the Collective System Design Methodology to Improve a Medical Center Emergency Room Performance.

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  • Additional Information
    • Source:
      Publisher: Kluwer Academic/Plenum Publishers Country of Publication: United States NLM ID: 7806056 Publication Model: Electronic Cited Medium: Internet ISSN: 1573-689X (Electronic) Linking ISSN: 01485598 NLM ISO Abbreviation: J Med Syst Subsets: MEDLINE
    • Publication Information:
      Publication: 1999- : New York, NY : Kluwer Academic/Plenum Publishers
      Original Publication: New York, Plenum Press.
    • Subject Terms:
    • Abstract:
      Emergency Room (ER) crowding is one of the more complex issues in the healthcare system worldwide. Crowding gives rise to long ER waiting times, patient dissatisfaction, and negative effects on a healthcare systems' performance. This paper focuses on the utilization of the Collective System Design (CSD) methodology to optimize the performance of an ER, which is of principal importance both from a life-threatening and an economic standpoint. The CSD technique is applied to detect areas of deficiency and to identify the functional requirements of the system to address those issues. The ER and system engineering specialists' team gathered data from the electronic medical center log and their system observation. The team determined the functional requirements and effective solutions, and implemented a continuous improvement plan to enhance ER performance. From a statistical standpoint, a significant decrease in the median of the door-to-doctor time measure (27 min vs 13 min) and a substantial improvement in the patients' level of satisfaction with the quality of health care (20th percentile vs 41th percentile) were observed after the implementation of the CSD methodology. The CSD methodology augments the implementation of lean tools by providing a language for defining the requirements and corresponding solutions for a system design. Using the CSD methodology, results in a significant increase in the ER's capacity to treat patients efficiently.
    • References:
      Health Care Manag Sci. 2015 Sep;18(3):289-302. (PMID: 25270574)
      Ann Emerg Med. 2009 Oct;54(4):514-522.e19. (PMID: 19716629)
      Acad Emerg Med. 2011 Dec;18(12):1371-9. (PMID: 22168201)
      J Emerg Med. 2009 Aug;37(2):177-82. (PMID: 18722732)
      ED Manag. 2011 May;23(5):49-52. (PMID: 21560797)
      Health Policy. 2015 Sep;119(9):1197-209. (PMID: 25737260)
      Ann Emerg Med. 2011 Mar;57(3):265-78. (PMID: 21035904)
      Ann Emerg Med. 2006 Dec;48(6):686-93. (PMID: 17112932)
      Virtual Mentor. 2012 May 01;14(5):373-7. (PMID: 23351201)
      CJEM. 2010 Jan;12(1):50-7. (PMID: 20078919)
      J Emerg Med. 2004 Jan;26(1):13-26. (PMID: 14751474)
    • Contributed Indexing:
      Keywords: Emergency response; Health care systems; Process improvement; Quality and system design; Resource allocation
    • Publication Date:
      Date Created: 20181020 Date Completed: 20190226 Latest Revision: 20200207
    • Publication Date:
      20220301
    • Accession Number:
      10.1007/s10916-018-1102-7
    • Accession Number:
      30338399