Queueing analysis has been used in hospitals and other healthcare settings, but not fully utilized. There has been no proper approach in dealing with queues theory and models and accompanying risks, some of which will be still contentious. Due to the myriad of health risks that come with patients taking long on queues, there is need to investigate and unravel untold sufferings among the patients, The results of this study will be used to a larger extent by the medical practitioners in the Ministry of Health, County Governments and Iten County Referral Hospital management to ensure that queuing theory is properly
The following table shows the data collected for 57 customers from 9:00 am to 10:00 am. From the table, the total queueing time is 460 minutes and the average queueing time is 8.07 minutes. The total service time is 214
The construction of the pipeline faces various ethical concerns. First and foremost, the pipeline will cross lands owned by the native Sioux Tribe which is complete violation of property rights. If a party is not willing to let someone use their land, they should not be forced to do it. This native tribe has had a rough past as they were deprived off their lands and taking over their leftover property would cause further resentment. These lands consists of burial grounds and cultural heritage, which is sacred to a lot of native tribes.
Establishment of reduce wait times as a culture in the hospital involves implementation of staffing policies among others that would reduce the wait time. Automated systems can be used to reduce time spent in the registration process. The disadvantage of this strategy is that it is costly and requires high initial capital to implement. Incorporation of preferences of the patients requires the health administrators to determine the issues that affect the patients hence increased waiting time. A system can be established to enable the cardiac care patients make appointments when faced with issues that are less critical in order to reduce wait time. However, this strategy will require the community hospital to incur additional costs during the registration process. Revamping the process of front-line scheduling enables the personnel of the community hospital to adhere to demand and supply when scheduling treatment procedures which are not life threatening. This will reduce the number of emergency cases. The negative force of this strategy is that it will make most patients to prefer hospitals which do not revamp its front-line schedules (Sullivan,
Queuing is feature of our daily life, whether in an airport, a post office or Emergency Departments(ED), few of us wishes to wait too long for service. The clinical cost of waiting too long for urgent treatment in an ED is all too long for service. Following media headlines, pooled with powerful political agenda lead to, in the late 1990s and the early 2000s many ED in the UK were struggling with high demand and poor patient flow. During this period it
As a result of this, when one patient takes longer to process, the Arrival Queue becomes a bottleneck. Patients begin to stack up behind one another while they wait for the other patients to be processed. This is point in the process that needs improvement. By fixing the time it takes to process each patient and removing or reordering certain steps, the cycle time could be reduced and the bottleneck eliminated.
On Saturday 12/10/2016 at approximately 2028 hours, East Security staff was dispatched to the Special Care Unit room #40 in reference to a (51S) Patient Standby in ED. Security Officers Omar Alonso and I, Steven Evans responded to the scene. Upon arrival, we made contact with E.D. Nurse Jacquelyn Vaninguen who stated, she needed Security to stand by while she performed an EKG on the patient, Debra Lynn Bolger (DOB: 06/28/58 – Fin #86564069). Nurse Vaninguen entered the room and awoke the Baker Act Patient while Security stood by outside the room. Once EKG completed, upon leaving the patient became irate and attempted to leave her room at which time, I had to physically redirect the patient back to her bed. Nurse Vaninguen stated, she needed
A point prevalence study conducted by … fount that the mean reported waiting time was 3.7 hours per patient. The times for the longest boarded patient ranged from 15 minutes to 33 hours, with a mean maximum waiting time of 8.3 hours. The prolonged ED waiting time resulted from ED overcrowding has negative adverse outcomes upon different stakeholders, including not only patients, but also staff members and hospitals.
Lengthy time wait can result in an individual becoming more sick, due to the lack of attention they are receiving. In the province of Alberta, a women says “her life is wasting away after a series of miss communication.” Its been almost 10 years, and she still hasn’t received her treatment. As a country viewed as one of the best countries in terms of healthcare, the government fails to provide the citizens with proper care. However, analyzing Canadian wait time from a decade ago to the present day, Canada is ranked number 11 on the lowest wait time according to First minister accord. Canada advance to the top of the ranking by improving on some steps, such as diagnosing problems fast. By diagnosing the problem first, health care worker are able to aid patients to get the best and most efficient health services. Also, the main foundation to a a shorter wait time is the a strong and cooperative staff. With a great staff that are communicating, its easier to get through many patients in a day. (https://secure.cihi.ca/free_products/HCIC2012-FullReport-ENweb.pdf) If majority of our taxes is contributing into healthcare, we should be provided with fast and efficient service. Another alteration with having a lengthy wait is it affects individual who are in need of a
“Long wait times could potentially result in worse patient outcomes, greater patient suffering, patient dissatisfaction, more difficulty retaining and recruiting staff, a higher risk of infectious disease outbreaks and an increased risk of medical errors” (Ducharme, Alder, Pelletier, Murray, & Tepper, p. 456). This article explored how the addition of nurse practitioners and physician assistants in 6 Ontario emergency departments could help to reduce wait time, patient flow, and the number of patients who left without being seen (Ducharme, Alder, Pelletier, Murray, & Tepper, p. 455). This study was seen to be the first of its kind in analyzing effects in an emergency department on patient flow by adding nurse practitioners and physician assistants to the healthcare team (Ducharme, Alder, Pelletier, Murray, & Tepper, p. 459). The quantitative study design used for this study was the experimental design since it was based on implementation and evaluation of the effects (Keele, p. 41). The article does not address how the sample size was determined and actually
In this paper I discuss how holding patients in the Emergency Department (ED) has a negative effect on patients. To many patients in the ED , medication errors and patients lingering in the ED instead of being in the Intensive Care Unit (ICU) are the main cause of mortality and morbidity. For this assignment, I gathered information to figure out if the increased number of patients in the ED, medication errors, and the length of time ICU patients are held in the ED at Ohio Valley Medical Center (OVMC) is an actual issue that is effecting our patients. After doing a complete assessment and gathering the needed information, a plan will be put together to cut back
Hospitals are experiencing patient congested emergency departments. At Baptist Memorial Hospital, the increase in patient volume and limited capacity contributes to long length of stays and patients leaving without being seen. As a result of overcrowded emergency rooms, patient length of stay becomes more important. Throughput times in the emergency department (ED) play a substantial role in patient and staff satisfaction. Length of stay in the ED is directly related to patient volume, patient acuity, lab turnaround times, and time to treatment, which is all connected to patient satisfaction. Long wait time
As a nurse manager, and from my experience, I do not feel that the satisfaction of the team would be jeopardized based on whether there is an Associate degree level nurse verses a BSN level nurse. In my area, we have highly trained nurses with both skill levels. We are not compensated based on our degree levels, however, we are compensated by years of service and nursing experience. We all took the same exam to become licensed Registered Nurses. I do feel that it is important to provide the necessary orientation to the unit in order for the nurse to be equipped with the necessary skills to perform the job efficiently. The staffing model that I would use is the functional model of nursing. According to the text, "functional model nursing
The power hungry pig that leads the animals as a totalitarian dictator into an oppression that stated “All animals are equal/ but some are more equal than others”
When someone hears the word “sex”, or talks about sex, there is usually awkwardness that follows. Sex was a topic that is not supposed to be discussed publicly. Why is something so natural illegal to discuss or educate? Today, 1 in 4 teenagers acquire a sexually transmitted disease/infection. In 2015, 13,828 youth males were diagnosed with HIV. These statistics are so high because of the insufficient amount and the lack of information being taught to teens. With the media’s lack of discretion, teens are now relying on it to learn about sex and its effects. Sex education, not abstinence, should be inclusive for everybody, regardless of sexual orientation. Not only should sex between a heterosexual couple be taught in schools, but also sex