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This study analyzes the various applications of Lean Methodologies in emergency departments (ED) from the years 2005 through 2010. These data were then used to create a predictive model that hospitals can use to assess the benefits of using lean within their ED. Metrics studied include 1) rate of patients

This study analyzes the various applications of Lean Methodologies in emergency departments (ED) from the years 2005 through 2010. These data were then used to create a predictive model that hospitals can use to assess the benefits of using lean within their ED. Metrics studied include 1) rate of patients that left the ED without being seen 2) length of stay and 3) overall patient satisfaction. These metrics were extracted from published studies and used to create a linear regression model, which could be applied to an ED to predict its status after implementing a lean project. After developing these formulas, they were applied to the ED of fictional hospital T-1 in order to predict benefit. After determining the approximate values for the post-lean metrics, an estimate of the financial benefit was developed in conjunction with a financial executive at Chandler Regional Medical Center, in Chandler, Arizona.
ContributorsBither, Ryan David (Author) / Riley, William (Thesis director) / Bricker, Tim (Committee member) / School of Nutrition and Health Promotion (Contributor) / Barrett, The Honors College (Contributor)
Created2016-12
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Description
Homelessness has a history of existing as a misunderstood condition involving stereotypes, stigmas and assumptions. In fact, the combination of acute-care medical professionals with patients of chronic illness and chronic homelessness can lead to incongruity of attitudes. These mindsets have the potential to affect the care homeless individuals receive in

Homelessness has a history of existing as a misunderstood condition involving stereotypes, stigmas and assumptions. In fact, the combination of acute-care medical professionals with patients of chronic illness and chronic homelessness can lead to incongruity of attitudes. These mindsets have the potential to affect the care homeless individuals receive in the emergency department (ED) and impact their intentions to seek medical help in the future (Ugarriza & Fallon, 1994, pp. 26). Furthermore, homeless individuals account for 54.5% of all ED visits in the United States (Kushel et al., 2002). The author conducted a qualitative descriptive study of 10 in-person interviews with homeless individuals in the downtown Phoenix, AZ area. The objective was to determine homeless individuals' perceptions of welcomeness and unwelcomeness by emergency department staff. Findings support significantly unwelcome experiences in the ED and negative perceptions of ED staff through repeating concepts of dehumanization, dismissal, stereotypes and discrimination. Further research is needed to create interventions for improving perceptions of ED staff, promoting health and preventing illness in the homeless population, and reducing ED visits by homeless individuals.
ContributorsLeander, Lauren (Author) / Stevens, Carol (Committee member) / Kleinlein, Shirley (Committee member) / McNulty, Julie (Committee member) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor) / Barrett, The Honors College (Contributor)
Created2014-05