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Table 2 Key Interventions

From: Lean thinking to improve emergency department throughput at AORN Cardarelli hospital

Type

Description

Time

5S Tecnique

Re-organization of the Nurses station

February 2016

Visual

Identification of the staff

November 2015

Vertical and horizontal information plaques for shared spaces

December 2015

Define the card for the patient waiting for first examination

March 2016

Definition of the care path manager panel

March 2016

Team leader becomes care path manager - goal setting

January 2016

Triage

Project presentation meeting

December 2015

Flow

Definition of the medical tutor role

December 2015

Strategic management of medical shifts

January 2016

Definition of a minimum number of medical examinations per shift for each location + periodic calculation

January 2016

Sharing with staff and periodic reports

January 2016

Support

Define who needs the stretcher at the entrance, and limiting its use and replacing it when possible with a wheelchair

December 2015

Computerization

Create a web application that notifies the arrival of reports in real time

December 2015