EMERGENCY ROOM OBSERVATIONSPECHA KUCHAJenny LiuBMED 8813

Fall 2012

EXPECTATIONS

Crowded waiting rooms and hallways General confusion / stressful environment Large space to support ER’s capabilities

2

IMPRESSIONS

Most were pretty positive Skewed by the expectation of the worst Focused on:

General use of space Noise level Overall environment

3

PROS: NOT CROWDED

4

OVERALL ER Did not span a large area of the hospital

Compared to the pathology labs in Grady Pro: efficient use of space

5

OVERALL ENVIRONMENT

Like an airport terminal

6

REFLECTION

Environment reflects the idea that people are doing their work quickly enough

Ex: CULC building

7

CHECK-IN / REGISTRATION

Like a bank teller Feels very efficient

8

SECURITY

Came in the front door of the hospital and didn’t have to go through the metal detector

Purpose?

9

CLUTTERED AND CRAMPED

10

COMFORT

11

SIZE OF ROOMS

12

TRAUMA BAY : COMPARED WITH OR

13

DIRTY ROOMS

Expected to see rapid turn-over time

14

NOISE LEVEL

15

IDENTIFIED PROBLEM

No electronic transfer of medical records from EMT to triage

[Communication]

16

PRELIMINARY PROBLEMS Clutter in the patient observation and triage

rooms Can create additional stress on patients and

family members

17

CONCLUSION

Seems to be a pretty efficient system Would need to see more ERs for comparison

18

REFERENCES Lectures from class Tour guide at Grady: Eli Po Lecturers: Jeremy Ackerman, David Cowan, Ellen Do, Craig Zimring Pictures from:

https://www.dropbox.com/home/HOF%20Grady http://inplacenews.wordpress.com/2008/08/06/cdc-says-emergency-room-wait-

time-averages-an-hour/ http://www.sanfranciscosentinel.com/?p=25003 http://www.osha.org http://www.kaiserhealthnews.org/stories/2009/october/02/grady.aspx http://www.flickr.com/photos/jim_watkins/4265226327/ http://www.xkcd.com http://www.ajc.com http://ce.gatech.edu/media/news/5701 http://www.flickr.com/photos/georgiatech/6937981452/

Questions? 19