Thursday, September 19, 2019 | 8:30 AM - 9:30 AM
Open to Conference Attendees Only
Aspiring to 'Zero Delay Treatment' in Emergency Department
Chair, Royal Architectural Institute of Canada (RAIC) - Alberta Chapter
Professor, Construction Engineering and Management, University of Alberta
Long waiting times in Emergency Departments (ED) have been an issue in Canadian hospitals for years. Many factors have contributed to the excessive waiting time, including the current design scheme which is known architecturally as the Funnel Design Scheme. Current architectural and engineering practice lacks standards to quantify the effect of ED design and ancillary departments on waiting time and Length of Stay (LOS). This research focuses on assessing the architectural standards of ED on the basis of a patient-focused environment. The objective is to optimize the space requirement to reduce waiting time following what is called a universal zero delay treatment. The proposed methodology uses two techniques: a) a statistical analysis of forty two ED architectural designs, and b) the application of Lean Healthcare combined with Post Lean Simulation which offers an opportunity to evaluate the potential impact of different interventions on patient flow and throughput.
- Demonstrating what methods researchers have proposed to manage ED congestion and patient flow, and strategies that decrease ED waiting times and LOS.
- Testing a proposed Streamlined Design Scheme to replace the existing Funnel Design Scheme on the basis of a patient-focused environment.
- Assessing current standards through a statistical analysis of 42 ED architectural designs to quantify the effect of ED design on waiting time and LOS
- Assessing the application of Lean Healthcare and Post Lean Simulation to evaluate different interventions to arrive at "Zero Delay Treatment" in ED.