Related Experiment Video
Updated: Aug 24, 2026

Advanced Workflow for Taking High-Quality Increment Cores - New Techniques and Devices
Published on: March 10, 2023
Work flow analysis: eliminating non-value-added work
Terry Capuano1, Joanna Bokovoy, Deborah Halkins
1Health Care Research, Center for Professional Excellence, Lehigh Valley Hospital and Health Network, Cedar Crest Boulevard & 178, Allentown, PA 18104, USA. Terry.Capuano@lvh.com
Objective:
To evaluate the impact of implemented work environment changes on nursing and support staff roles.
Background:
In 1999, the authors identified key drivers of unnecessary work associated with the day-to-day delivery of patient care in their institution and implemented changes based on their results.
Methods:
Both quantitative and qualitative methods were used. Work sampling and focus groups were used to evaluate work flow. Activity categories were identified and clearly defined by advanced practice nurses. All compiled data were subsequently synthesized and cross-checked with the information acquired through independent, multidisciplinary validation studies.
Results:
There were significant changes (P <.0001) noted in overall distribution of observed activities for nurses and all support staff.
Conclusions:
The significant changes noted in overall distribution of observed activities reflect the important adjustments made in both job descriptions and the environment to eliminate key drivers of unnecessary work in the delivery of patient care.
Related Concept Videos
Flow Sheet
Here's a closer look at the examples of flowsheets commonly used by nurses:
Graphic Sheet Documentation:
Virtual Work for a System of Connected Rigid Bodies
Next,...
The Power Flow Problem and Solution
Dimensional Analysis
In fluid mechanics, dimensional...
Principle of Virtual Work: Problem Solving
To apply the principle of virtual work,...
Flow Cytometry
In...
