![]() “We had it all laid out with post-it notes and it was satisfying when you saw it go from the mess it was to a streamlined version where we’d gotten rid of redundancies. “The most surprising thing I learned was how many steps are involved in a visit to the ED,” said Jennifer Schultz, a patient and family partner who participated in the workshop. One of those steps was having a physician and nurse assess a patient at the same time to provide a teaching and learning opportunity for staff – and so patients don’t have to tell their story separately to different people. ![]() So they started brainstorming how they could reduce that waste, making sure they weren’t just creating another step but actually streamlining the process. When the group took a hard look at the path patients take through the ED, they found a lot of what they called “waste” – moments where patients were waiting unnecessarily or there were staff frustrations or bottlenecks. “Their time is valuable so from the moment they come through the door to when they leave the ED, it needs to be as effective and efficient as possible – we don’t want to waste their time or ours.” Carolyn Snider, Chief of Emergency Medicine. “We know that when people come into the ED, it’s often one of their worst days – they’re obviously stressed,” said Dr. Representatives from every group that works in and supports the ED – doctors, nurses, porters, social workers, environmental services, labs and more – as well as patient and family partners came together to look at how to make the experience of moving through the ED better. Planning for the green zone has been in the works for more than a year but the idea of having joint assessment by a physician and nurse was brought forward at an event called the ED value stream mapping workshop earlier this year. Here, they will see a physician and nurse at the same time, have access to diagnostic imaging if needed and get all results and recommendations quickly before being sent on their way home. ![]() Michael’s Hospital might soon find themselves sent to the “green zone,” an area where rapid assessment will take place for patients who are likely to be in and out of the ED quickly. Patients walking into the Emergency Department at St. Part of the team who helped refine the green zone idea at the ED value stream mapping workshop
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