Go with the Flow: Improving Patient Movement into AMU
Care Process & Redesign
National University Health System Quality Improvement
National University Health System
31 December 2020
To improve patient movement into the Acute Medical Unit. Reduced bed wait time, earlier investigations, better definitive care, reduced LOS saving bed days.
Year Submitted: 2020
Published Date: 31 December 2020
Tags: Care Process ＆ Redesign, Quality Improvement, Workflow Redesign, Access To Care, Waiting Time, Operational Management, Resource Allocation, Value Based Care, Length Of Stay, Safe Care
About this Content
Aims
To improve patient movement into the Acute Medical Unit. Increase patients transferred within 4 hours (target: 60%).
Background
Prolonged EMD stay delays definitive management. Goal to reduce bed wait time to <4 hours for 60% of patients.
Methods
Root cause analysis identified bottlenecks. Interventions included PDSA cycles to reallocate beds and improve processes.
Results
Patients transferred within 4 hours increased from 39.3% to 78.6%. Earlier care reduced overall length of stay (LOS).
Conclusion
Reduced bed wait time, earlier investigations, better definitive care, reduced LOS saving bed days.
Lessons Learnt
Streamlined bed allocation and clarified staff responsibilities improved patient flow.
Keywords
Care Redesign, Quality Improvement, Waiting Time, Length of Stay, Acute Care, Bed Management
Innovators' Details
Innovators' Details
Healthcare Cluster(s) | National University Health System |
Organization(s) Involved | National University Hospital |
Platform(s) | National University Health System Quality Improvement |
Healthcare Professional Group(s) | Healthcare Administration, Nursing, Medical |
Applicable Specialty or Discipline | Intensive Care Medicine, Emergency Medicine, Healthcare Administrators |
Project Lead(s) | Maria Teresa Kasunuran Cruz |
Project Member(s) | John Tshon Yit Soong |
Connect with this contributor!
Maria Teresa Kasunuran Cruz - maria_teresa_kasunuran_cruz@nuhs.edu.sg
Project Attachment
94_NUHS_NUH_QI_2020_Go_with_the_Flow_Improving_Patient_Movement_into_AMU_combine.pdf