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EMERGENCY DEPARTMENT PROCESS FLOW IMPROVEMENT BASED ON EFFICIENT ARCHITECTURAL LAYOUT, LEAN CONCEPT AND POST-LEAN SIMULATION Open Access

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Other title
Subject/Keyword
POST-LEAN SIMULATION
LEAN CONCEPT
EMERGENCY DEPARTMENT PROCESS FLOW IMPROVEMENT
EFFICIENT ARCHITECTURAL LAYOUT
Type of item
Thesis
Degree grantor
University of Alberta
Author or creator
Abdulaal, Basel
Supervisor and department
Al-Hussein, Mohamed (Construction Engineering and Management)
Al-Jibouri, Saad (Engineering Technology)
Examining committee member and department
Al-Jibouri, Saad (Department of Construction Management & Engineering, University of Twente)
El-rich, Marwan (Civil and Environmental Engineering)
Al-Hussein, Mohamed (Civil and Environmental Engineering)
Mohamed, Yasser (Civil and Environmental Engineering)
Liu, Lili (Department of Occupational Therapy)
Department
Department of Civil and Environmental Engineering
Specialization
Construction Engineering and Management
Date accepted
2012-01-31T14:25:25Z
Graduation date
2012-06
Degree
Master of Science
Degree level
Master's
Abstract
Long waiting times in Emergency Departments (ED) have been an issue in Canadian hospitals for years. Many factors have contributed to the excessive waiting time, including the current design scheme which is known architecturally as the “Funnel Design Scheme.” Current architectural and engineering practice lacks standards to quantify the effect of ED design and ancillary departments on waiting time and Length of Stay (LOS). This research focuses on assessing the architectural standards of ED on the basis of a patient-focused environment. The objective is to optimize the space requirement to reduce waiting time following what is called “universal zero delay treatment.” The proposed methodology uses two techniques: a) a statistical analysis of forty two ED architectural designs, and b) the application of Lean Healthcare combined with Post Lean Simulation which offers an opportunity to evaluate the potential impact of different interventions on patient flow and throughput. The proposed methodology is tested through a case study and interviews with healthcare professionals.
Language
English
Rights
Permission is hereby granted to the University of Alberta Libraries to reproduce single copies of this thesis and to lend or sell such copies for private, scholarly or scientific research purposes only. Where the thesis is converted to, or otherwise made available in digital form, the University of Alberta will advise potential users of the thesis of these terms. The author reserves all other publication and other rights in association with the copyright in the thesis and, except as herein before provided, neither the thesis nor any substantial portion thereof may be printed or otherwise reproduced in any material form whatsoever without the author's prior written permission.
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File title: Microsoft Word - Submitted Thesis_December 26, 2012
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