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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 | Association of time to prostate-specific antigen nadir and logarithm of prostate-specific antigen velocity after progression in metastatic prostate cancer with prior primary androgen deprivation therapy显示文摘我们与优先的主要雄激素剥夺治疗(ADT ) 在变形前列腺癌症在前进木头(PSAVAP ) 以后调查了前列腺特定的抗原天底(TTPN ) 和前列腺特定的抗原速度的对数的时间的协会。从 2000 ~ 2009 与主要 ADT 对待的所有变形前列腺癌症病人被考察。开发了疾病前进的病人在随后的分析被包括。病人们根据他们的 TTPN 被分成三个组:< 的 TTPN; 3 个月, 3-17 月,和 > 17 个月。我们用 Mann-Whitney U-test 和 Kruskal-Wallis 测试比较了在不同 TTPN 组之间的木头(PSAVAP ) 。木头(PSAVAP ) 上的进一步多重的线性回归分析被执行为使因素惊讶的另外的潜力调整。在与主要 ADT 被对待的 419 个病人之中, 306 个病人与 28 个月的中部的后续开发了疾病前进。更长的 TTPN 与更低的木头(PSAVAP ) 被联系(P = 0.008 ) 在所有亚群分析以内(< 的 TTPN; 3 对 3-17 月, P = 0.020;3-17 对 > 的 TTPN; 17 个月, P = 0.009;并且 < 的 TTPN; 3 对 > 17 个月, P = 0.001 ) 。在多重线性回归分析之上,基线 PSA (回归系数 0.001 , P = 0.045 ), PSA 天底(回归系数 0.002 , P = 0.040 ),并且 TTPN (回归系数 − ; 0.030 , P = 0.001 )是显著地与木头( PSAVAP )被联系的三个因素。在结论,更长的 TTPN 在跟随主要 ADT 的变形前列腺癌症病人与更低的木头(PSAVAP ) 被联系。在 3 个月和 17 个月的 TTPN cut-offs 看起来在预言木头(PSAVAP ) 有预示的意义。TTPN 可以在与疾病前进在病人决定治疗策略用作好预示的指示物。 | Jeremy YC Teoh James HL Tsu Steffi KK Yuen Peter KF Chiu Samson YS Chan Ka-Wing Wong Kwan-Lun Ho Simon SM Hou Chi-Fai Ng Ming-Kwong Yiu | 2017 | Asian Journal of Andrology2017，19，1： | 6 |
| 3 | α-methylacyl-CoA racemase (p504S) expression in evolving carcinomas within benign prostatic hyperplasia and in cancers of the transition zone 显示文摘 | Leav I McNeal JE Ho SM | 2003 | Hum Pathol2003，34，3： | 1 |
| 4 | Effect of concomitant antiarrhythmic therapy on survival in patients with implantable cardioverter defibrillators显示文摘 | HO AT PAI SM TIMOTHY P | 2005 | Pacing Clin Electrophysiol2005，28，7： | 1 |
| 5 | Estrogens and anti-estrogens: key mediators of prostate carcinogenesis and new therapeutic candidates显示文摘 | Ho SM | 2004 | J Cell Biochem2004，91，： | 1 |
| 6 | Progesterone-induced apoptosis in immortalized normal and malignant human ovarian surface epithelial cells involves enbanced expression of FasL 显示文摘 | Syed V Ho SM | 2003 | Oncogene2003，22，： | 1 |
| 7 | Emotional control in Chinese female cancer survivors显示文摘 | Ho RT Chan CL Ho SM | 2004 | Psychooncology2004，13，11： | 1 |
| 8 | Genetic analysis of enterovirus 71 iso- lated from fatal and non-fatal cases of hand, foot and mouth disease during an epidemic in Taiwan, 1998 显示文摘 | Shih SR Ho MS Lin KH Wu SL Chen YT Wu CN Lin TY Chang LY Tsao KC Ning HC Chang PY Jung SM Hsueh C Chang KS | 2000 | Virus Res2000，68，2： | 1 |
| 9 | Long-term Characteristics of Healthcare-associated Infections in a Neonatal Intensive Care Unit 显示文摘 | Ho TS Wang SM Wu YH | 2010 | J Microbiol lmmunol Infect2010，43，5： | 1 |
| 10 | G72 influences longitudi- nal change in frontal lobe volume in schizophrenia显示文摘 | Hartz SM Ho BC Andreasen NC | 2010 | Am J Med Genet B Neuropsychiatr Genet2010，153，： | 1 |
| 11 | Interferon-inducible IFI16 protein in human cancers and autoimmune diseases显示文摘 | Choubey D Deka R Ho SM | 2008 | Front Biosci2008，13，1： | 1 |
| 12 | Expression of human estrogen receptor-alpha and-beta, progesterone receptor, and androgen receptor mRNA in normal and malignant ovariant epithelial cells 显示文摘 | Lau KM Mok SC Ho SM | 1999 | Proe Natl Acad Sci1999，96，8： | 1 |
| 13 | Evaluation of peroxynitrite-scav- enging capacities of several commonly used fresh spices显示文摘 | Ho SC Tang YL Lin SM | 2010 | Food Chem2010，119，3： | 1 |
| 14 | Transgene expression and differentiation of baculovirus-transduced human mesenchymal stem cells 显示文摘 | Ho YC Chung YC Hwang SM | 2005 | J Gene Med2005，7，7： | 1 |
| 15 | Exposure to suicide and suicidal behaviors among Hong Kong adolescents 显示文摘 | Wong Joy PS Stewart SM Ho SY | 2005 | Soe Sci Med2005，61，3： | 1 |
| 16 | Posttraumatic growth in Chinese cancer survivors 显示文摘 | Ho SM Chan CL Ho RT | 2004 | Psycho - Oncology2004，13，6： | 1 |
| 17 | Transplantation of nasal olfactory tissue promotes partial recovery in paraplegic adult rats显示文摘 | Lu J Feron F Ho SM | 2001 | Brain Res2001，889，12： | 1 |
| 18 | Thl and Th2 CIM + T cells in the pathogenesis of organ-specific autoimmune diseases 显示文摘 | Liblau RS Singer SM McDevitt HO | 1995 | Immunol Today1995，16，1： | 1 |
| 19 | Cardiovascular event reduction versus new-onset diabetes during atorvastatin therapy: effect of baseline risk factors for diabetes显示文摘 | Waters DD Ho JE Boekholdt SM etal | 2013 | J Am Coll Cardiol2013，61，2： | 1 |
| 20 | Prodigiosin down-regulates survivin to facilitate Paclitaxelsensitization in human breast carcinoma cell lines 显示文摘 | Ho T1e Peng YT Chuang SM | 2009 | Toxicol Appl Pharrnaco12009，235，2： | 1 |
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