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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 | Ambiguous nucleotide calls from population-based sequencing of HIV-l are a marker for viral diversity and the age of infection显示文摘 | Kouyos RD von Wyl V Yerly Sv | 2011 | Clin Infect Dis2011，52，4： | 1 |
| 3 | Associations be- tween behavioral/emotional difficulties in kindergarten ehil dren and the quality of their peer relationships显示文摘 | Perren Svon Wyl A Stadelmann S | 2006 | J Am Acad Child Adolesc Psychiatry2006，45，7： | 1 |
| 4 | A randomized clinical trial study on the effectiveness of a tele-analogy-based problem-solving programme for people with acquired brain injury (ABI)显示文摘 | Man WK Soong WYL Tam SF | 2006 | Neuro Rehabil2006，21，3： | 1 |
| 5 | Depressive symptoms and psychosocial stress across the transition to parenthood : associations with parental psychopathology and child difficulty 显示文摘 | Perren S Von Wyl A Burgin D | 2005 | J Psychosom Obstet Gynaecol2005，26，3： | 1 |
| 6 | Risk stratification in providing inter-facility transport: Experience from a specialized transport team显示文摘 | LLY Lee WYL Lo KL Yeung E Kalinowski SYH Tang JTS Chan | 2010 | World Journal of Emergency Medicine2010，1，1： | 1 |
| 7 | Successful identification of sources of transmitted drug-resistant HIV-1 via a cross-seetional phylogenetic analysis显示文摘 | von Wyl V Yerly S Boni J | 2009 | Antivir Ther2009，141，： | 1 |
| 8 | Associations between family relationships and symptoms/strengths at kindergarten age: what is the role of children’s parental representations?显示文摘 | StephanieStadelmann SonjaPerren AgnesVon Wyl KaiVon Klitzing | 2007 | Journal of Child Psychology and Psychiatry2007，，10： | 1 |
| 9 | STAT3 acti- vation contributes directly to Epstein-Barr virus-mediated in vasiveness of nasopharyngeal cancer cells in vitro 显示文摘 | Vivian WYL Elaine YLW Yeung H | 2009 | In t J Cancer2009，125，8： | 1 |
| 10 | Effects of cognitive behav ioral stress management on HIV- 1 RNA,CD4 cell counts and psychosocial parameters of HIV - infected persons 显示文摘 | Berger S Schad T von Wyl V | 2008 | AIDS2008，22，6： | 1 |
| 11 | Effect of transmitted drug resistance on virological and immunological response to initial combination antiretroviral therapy for HIV (EuroCoord-CHAIN joint project): a European multicohort study显示文摘 | Linda Wittkop Huldrych F Günthard Frank de Wolf David Dunn Alessandro Cozzi-Lepri Andrea de Luca Claudia Kücherer Niels Obel Viktor von Wyl Bernard Masquelier Christoph Stephan Carlo Torti Andrea Antinori Federico García Ali Judd Kholoud Porter Rodolphe T | 2011 | The Lancet Infectious Diseases2011，，5： | 1 |
| 12 | HIV-1 transmission after cessation of early antiretroviral therapy among men having sex with men显示文摘 | Rieder P Joos B yon Wyl V | 2010 | AIDS2010，24，8： | 1 |
| 13 | Adherence as a predictor of the development of class-specific resistance mutations : the Swiss HIV Cohort Study 显示文摘 | yon Wyl V Klimkait T Yerly S et ai | 2013 | PLoS One2013，8，77： | 1 |
| 14 | African descent is associated with slower CD+4cell count decline in treatment-naive patients of the Swiss HIV Cohort Study显示文摘 | MullerV von Wyl V Yerly S | 2009 | AIDS2009，23，： | 1 |
| 15 | Profound depletion of HIV-1 transcription in patients initiating antiretroviral therapy during acute infection显示文摘 | Schmid A Gianella S von Wyl V | 2010 | PLoS One2010，5，13： | 1 |
| 16 | Anti-vascular endothelial growth factor and macular atrophy:an unanswered question显示文摘Does anti-vascular endothelial growth factor(VEGF)therapy lead to geographic atrophy?If so,does the number of injections or the duration of anti-VEGF therapy correlate with the risk of developing geographic atrophy?With intravitreal injections becoming the most common ophthalmic invasive procedure and an increasingly aging population,these questions really matter. | Adam Wylęgała Edward Wylęgała | 2018 | Annals of Eye Science2018，，1： | 0 |
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