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| 1 | Lean techniques for the improvement of patients' flow in emergency department显示文摘BACKGROUND: Emergency departments(EDs) face problems with overcrowding, access block, cost containment, and increasing demand from patients. In order to resolve these problems, there is rising interest to an approach called 'lean' management. This study aims to(1) evaluate the current patient flow in ED,(2) to identify and eliminate the non-valued added process, and(3) to modify the existing process.METHODS: It was a quantitative, pre- and post-lean design study with a series of lean management work implemented to improve the admission and blood result waiting time. These included structured re-design process, priority admission triage(PAT) program, enhanced communication with medical department, and use of new high sensitivity troponin-T(hsTnT) blood test. Triage waiting time, consultation waiting time, blood result time, admission waiting time, total processing time and ED length of stay were compared.RESULTS: Among all the processes carried out in ED, the most time consuming processes were to wait for an admission bed(38.24 minutes; SD 66.35) and blood testing result(mean 52.73 minutes, SD 24.03). The triage waiting time and end waiting time for consultation were significantly decreased. The admission waiting time of emergency medical ward(EMW) was significantly decreased from 54.76 minutes to 24.45 minutes after implementation of PAT program(P<0.05).CONCLUSION: The application of lean management can improve the patient flow in ED. Acquiescence to the principle of lean is crucial to enhance high quality emergency care and patient satisfaction. | HY Chan SM Lo LLY Lee WYL Lo WC Yu YF Wu ST Ho RSD Yeung JTS Chan | 2014 | World Journal of Emergency Medicine2014，5，1： | 6 |
| 2 | Up-regulated caveolin-1 accentuates the metastasis capability of lung adenocarcinoma by inducing filopodia formation显示文摘 | Ho CC Huang PH Huang HY | 2002 | Am J Pathol2002，161，5： | 1 |
| 3 | Upregulated caveolin-1 accentuates the metastasis capability of lung adenocarcinoma by inducing filopodia formation显示文摘 | Ho CC Huang PH Huang HY | 2002 | Am J Pathol2002，161，5： | 1 |
| 4 | Poor response of ovaries with endometrioma previously treated with cystectomy to controlled ovarian hyperstimulation显示文摘 | Ho HY Lee RK Hwu YM | 2002 | J Assist Reprod Genet2002，19，11： | 1 |
| 5 | Artemisinins:pharmacological actions beyond anti-malarial显示文摘 | Ho WE Peh HY Chan TK | 2014 | Pharmacol Ther2014，142，1： | 1 |
| 6 | Cost evaluation of ad- verse drug reactions in hospitalized patients in Taiwan: A prospective, descriptive, observational study 显示文摘 | Chan ALF Lee HY Ho CH | 2008 | Current Therapeutic Research2008，69，2： | 1 |
| 7 | An epididymis-specific beta-defensin is important for the initiation of sperm maturation显示文摘 | Zhou CX Zhang YL Xiao L Zheng M Leung KM Chan MY Lo PS Tsang LL Wong HY Ho LS | | 0，，05： | 1 |
| 8 | G6PD - an old bottle with new wine显示文摘 | Ho HY Cheng ML Chiu DT | 2005 | Chang Gung Med J2005，28，9： | 1 |
| 9 | Management of acute portomesenteric venous thrombosis induced by protein S deficiency:report of a case显示文摘 | Lin HY Ho CM Lai HS | | 0，，10： | 1 |
| 10 | Artemisinins: pharmaco- logical actions beyond anti-malarial 显示文摘 | Ho WE Peh HY Chan TK | 2014 | Pharmacol Ther2014，142，1： | 1 |
| 11 | Tubal pregnancy following tubal embryo transfer into the contralateral fallopian tube 显示文摘 | Ho HY Lee RK Su JT | 2003 | Assist Reprod Genet2003，20，10： | 1 |
| 12 | Association of polymorphisms of heat shock protein 70 with susceptibility to noise-induced hearing loss in the Taiwanese population显示文摘 | Chang NC Ho CK Lin HY | 2011 | Audiol Neurootol2011，16，： | 1 |
| 13 | Glucose-6-phosphate dehydrogenase--from oxidative stress to cellular functions and degenerative diseases 显示文摘 | Ho HY Cheng M L Chiu DT | 2007 | Redox Rep2007，12，3： | 1 |
| 14 | Poor response of ovaries with endometrioma previously treated with cystectomy to controlled ovarian hyperstimulation 显示文摘 | Ho HY Lee RK Hwu YM | 2002 | J Assist Reprod Genet2002，19，11： | 1 |
| 15 | Comparative Studies on Some Quality Attributes of Firm Tofu Sterilized with Traditional and Auto- claving Methods显示文摘 | HUANG TC FU HY HO CT | 2002 | Journal of Agricultural and Food Chemistry2002，51，1： | 1 |
| 16 | Blastocyst development after cryopreservation and subcutaneous transplantation of mouse ovarian tissue显示文摘 | Lee RK Ho HY Yu SL | 2005 | J Assist Reprod Genet2005，22，2： | 1 |
| 17 | Glucose-6-phosphate dehydrogenase deficiency enhances enterovirus 71 infection显示文摘 | Ho HY Cheng ML Weng SF | 2008 | J Gen Virol2008，89，9： | 1 |
| 18 | Surgical management of giant he- patic hemangiomas : complications and review of the literature显示文摘 | Ho HY Wu TH Yu MC | 2012 | Chang Gung Med' J2012，35，： | 1 |
| 19 | Enhanced oxidative stress and accelerated eellular senescence in glucose-6-phosphate dehydrogenase ( G6PD )-deficient human fibroblasts 显示文摘 | Ho HY Cheng ML Lu F J | 2000 | Free RadicBiol Med2000，29，2： | 1 |
| 20 | Up - regulated caveolin - 1 accentuates the metastasis capability of lung adenocareinoma by inducing filopodia formation显示文摘 | Ho CC Huang PH Huang HY | 2002 | Am J Pathol2002，161，5： | 1 |
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