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Emergency Room Access Block - Coggle Diagram
Emergency Room Access Block
Building
No throughput of hospital admissions
Delayed discharges
No long term care capacity
Delay of bed cleaning
Bed closures due to infrastructure issues
Patients requiring specific bed spaces for medical support that are not available
Private room for isolation
Oxygen/suction
Close proximity to nursing station
Lack of physical bed spaces for patients
Provider
Lack of primary care physicians, increase in low acuity ER visits
Delayed discharges
Admitting team rounding late
Lack of home supports
Specialty consult team, late assessment
Delay in specialty consult assessments
Nursing/Staff shortage
Use of ER as an outpatient clinic space
Paramedicine
EMS Staff shortage
Patients
High volumes of patients presenting
Bottleneck in triage/registration
Patients by EMS choose which hospital
Patients present who require an increased level of care - social work consults - no acute issue
Patients requesting admission
Continuous animosity between inpatient and ER nurses
Direct admissions
Known
Unknown
Sent from outpatient clinic
Patients who require specialty services - only able to go to a certain unit
Process/Procedures/Policy
Delay in transfer of admission to inpatient space
Delay in results for isolation requirements
Facilitating patient moves in hospital
Cleaning of bed spaces
Competing bed priorities
Receiving unit push-back
Delayed discharges
Delayed diagnostics/procedures
Delayed results of diagnostics
Lack of discharge planning
ER Work-up length
Constant care policy
Staff shortage
Repatriation difficulties