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Updated: Jun 17, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
From a project to transformation: how "going against the flow" led to improved access and patient flow in an academic
L Miin Alikhan1, Robert J Howard, Richard Bowry
1Corporate Patient Flow Performance.
Abstract:
A results-driven approach to optimizing patient flow, grounded on quality improvement, change management and organizational learning principles, is described. Tactics included collaborative governance, performance management, rapid process improvements and implementation toolkits. Results included an 83.1% decrease in emergent volumes waiting for greater than 24 hours and a 49.1% improvement in emergency department length of stay for admitted patients. There were no adverse outcomes on other key indicators. Sustainability remains the challenge but early results are encouraging.
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