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BioMEMS: Forging New Collaborations Between Biologists and Engineers
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Improving patient flow through collaboration.

Gail Aguillon, Michelle Wallace, Mareika Purdon

    Alberta RN
    |May 15, 2018
    PubMed
    Summary

    Hospital capacity issues in Edmonton have persisted for over 20 years, leading to emergency department overcrowding. A comprehensive systems approach is needed to improve patient flow, challenging traditional practices and focusing on discharge planning.

    Area of Science:

    • Healthcare Management
    • Health Systems Engineering
    • Hospital Operations

    Background:

    • Persistent hospital capacity issues in Edmonton over two decades.
    • Emergency department overcrowding and lengthy inpatient bed waits are significant problems.
    • Current strategies often displace problems rather than solving them.

    Purpose of the Study:

    • To advocate for a "big picture" systems approach to address hospital capacity and patient flow.
    • To challenge traditional operational methods within healthcare.
    • To highlight the need for equilibrium between patient inputs and outputs to prevent bottlenecks.

    Main Methods:

    • Systems thinking applied to hospital patient flow.
    • Analysis of traditional discharge planning practices.

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  • Evaluation of current capacity management strategies.
  • Main Results:

    • Existing strategies have largely failed to resolve capacity issues, merely shifting them.
    • A holistic, systems-level perspective is necessary for effective change.
    • Discharge planning requires a forward-looking approach focused on patient destination, not just current location.

    Conclusions:

    • A fundamental shift in approach is required to improve patient flow and hospital capacity.
    • Challenging established practices and adopting a systems view are crucial.
    • Optimizing discharge planning is key to efficient patient throughput.