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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 | Prognostic impor tance of survivin in breast cancer 显示文摘 | Kennedy SM Driscoll LO Purcell R | 2003 | Br J Cancer2003，88，7： | 1 |
| 3 | Stability of black tea polyphenol, theaflavin, and identifyication of theanaphthoquinone as its major radical reaction product显示文摘 | JHoo JW Lo CY Li SM | 2005 | J Agri Food Chem2005，53，： | 1 |
| 4 | Protection against lethal influenza virus challenge by RNA interference in vivo显示文摘 | Tompkins SM Lo CY Tumpey TM | 2004 | Proc Natl Acad Sci USA2004，101，23： | 1 |
| 5 | A role for cysteinyl leukotrienes in airway remodeling in a mouse asthma model 显示文摘 | Henderson WR Jr Tang LO Chu SJ Tsao SM Chiang GK Jones F Jonas M Pae C Wang H Chi EY | 2002 | Am J Respir Crit Care Med2002，165，1： | 1 |
| 6 | Temporal lobe sclerosis associated with hipp- ocampal sclerosis in temporal lobe epilepsy: neuropathologica] features 显示文摘 | Thom M Eriksson S Martinian L Cabeclo LO McEvoy AW Dun- can JS Sisodiya SM | 2009 | J Neumpathol Exp Neurol2009，68，8： | 1 |
| 7 | Characterization of a peptide inhibitor of Janus kinase 2 that mimics suppressor of cytokine signaling 1 function显示文摘 | Flowers LO Johnson HM Mujtaba MG Ellis MR Haider SM Subramaniam PS | 2004 | J Immunol2004，172，12： | 1 |
| 8 | On numerical comparison of enclosure fire in a multi-compartment building 显示文摘 | Yeoh GH Yuen RKK Lo SM | 2003 | Fire Safety Journal2003，8594，： | 1 |
| 9 | Chemopreventive activity of celecoxib, a specific cyclooxygenase-2 inhibitor, and indomethacin against ultraviolet light-induced skin carcinogenesis 显示文摘 | Fischer SM Lo HH Gordon GB | 1999 | Mol Carcinog1999，25，4： | 1 |
| 10 | Staging systems for papillary thyroid carcinoma:a study of 2 tertiary referral centers显示文摘 | Lang BH Chow SM Lo CY | 2007 | Ann Surg2007，246，1： | 1 |
| 11 | Time course and permeation of synaptic AMPA receptors in cochlear nuclear neurons correlate with input显示文摘 | Gardner SM Trussell LO Oertel D | | 0，，20： | 1 |
| 12 | Development andvalidation of a sensitive immunoassay for the skeletal muscleisoform of creatine kinase显示文摘 | Lo KR Hurst SM Atkinson KR | 2010 | J Sci Med Sport2010，13，1： | 1 |
| 13 | On the Relationship Between Crowd Density and Movement Velocity显示文摘 | Fang Z Lo SM Lu JA | 2003 | Fire Safety Journal2003，39，： | 1 |
| 14 | Regulation of α-amylase-encoding gene expressi on in germinating seeds and cultured cells of rice显示文摘 | Yu SM Tzou Ws Lo Ws | 1992 | Gene1992，122，： | 1 |
| 15 | Development of a hybrid baculoviral vector for sustained transgene expression显示文摘 | Lo WH Hwang SM Chuang CK | | 0，，04： | 1 |
| 16 | Matrix protein 2 vaccination and protection against influenza viruses, including subtype H5N1 显示文摘 | Tompkins SM Zhao ZS Lo CY et ol | 2007 | Emerg Infect Dis2007，13，3： | 1 |
| 17 | Inhibitors of TLR8 reduce TNF production from human rheumatoid synovial membrane cultures显示文摘 | Sacre SM Lo A Gregory B | 2008 | J Immunol2008，181，11： | 1 |
| 18 | Protection against lethal influenza virus challenge by RNA interference in vivo显示文摘 | Tompkins SM Lo CY Tumpey TM | | 0，，： | 1 |
| 19 | A spatial-grid evacuation model for building显示文摘 | LO SM Fang Z | 2000 | Journal of Fire Science2000，18，37： | 1 |
| 20 | Prognostic importance of Survivin in breast cancer显示文摘 | Kenney SM Driscoll LO' Purcell R | 2003 | Br J Cancer2003，88，7： | 1 |
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