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patient Hospital Patient Flow Optimization - Coggle Diagram

- - - - Handle too many patients
      - No integration with EHR
      - Late involvement
    - - Delay in response
      - Lack of dispatch visibility
      - Misaligned priorities
    - - Limited visibility across units
      - Manual tracking
      - No predictive tools
  - - - Confused about next steps
      - Delayed family coordination
      - Not informed of timeline
    - - Can’t prepare home care
      - Miscommunication leads to readmission
      - Not notified until last minute
    - - No communication
      - Pain or safety risk grows
      - Long wait in hallway
  - - - Handle bedside discharge
      - Understaffed for complex patients
      - Shift conflicts reduce coordination
    - - Delay documentation
      - Unclear discharge ownership
      - Late rounding
    - - Delay transfers due to upstream beds
      - Manage hallway patients
      - Need real-time bed info
- - - - Teams lack shared discharge goals
      - No designated “flow facilitator” across disciplines
      - Poor communication during handoffs between roles
    - - Bed managers, nurses, and doctors operate in silos
      - Metrics are not linked across functions (e.g., LOS vs. readmissions)
      - No one owns discharge timing
    - - Case managers focus on discharge
        
        social workers focus on safe transition
      - Radiologists prioritize accuracy
        
        ED wants speed
      - Nurses prioritize stability
        
        physicians prioritize throughput
  - - - Manual discharge paperwork delays multiple units
      - Diagnostic equipment scheduling conflicts with rounding cycles
      - EHR not linked with transport or bed dashboards
    - - Delay in one unit creates ripple effect hospital-wide
      - Staffing shortage in one role causes system-wide inefficiency
      - Pushing early discharges increases readmissions
    - - Slow bed turnover
        
        ER boarding
        
        ambulance diversion
      - ICU congestion
        
        OR postponement
        
        surgical backlog
      - Delayed lab results
        
        delayed diagnosis
        
        delayed discharge
  - - - Families uninformed about discharge time
      - Patient stress increases due to conflicting messages from staff
      - Home care not arranged due to communication breakdown
    - - Transport teams unaware of rounding schedules
      - Admins want metrics met
        
        floor staff prioritize clinical care
      - Lack of medication reconciliation before discharge
    - - OR <-> ICU <- >Med-Surg
        
        no flow → surgical case delays
      - ED <-> Inpatient units
        
        admission delay from bed block
      - Lab <-> ED <-> Consultants
        
        diagnostics delay cascade
- - - - No early discharge planning
      - Family not informed
      - Discharge orders placed late
    - - EHR not integrated
      - Lack of central dashboard
      - Manual bed status updates
    - - No discharge → clean signal system
      - Communication gaps between units
      - Cleaning staff under-resourced
  - - - Batching slows return
      - Courier scheduling rigid
      - No alert on critical labs
    - - Delayed Monday test queue
      - No weekend discharge planning
      - Low weekend staffing
    - - Machine shortage
      - No urgency triage system
      - After-hours access issues
  - - - ER, ICU, and floor not synced
      - Radiology requests misrouted
      - No shared tracker
    - - Redundant paging
      - Unclear contact points
      - No escalation rules
    - - Verbal-only communication
      - Delays in updates across shifts
      - No standardized SBAR use
        
        Situation, Background, Assessment and Recommendation