Nursing Process Flow Chart


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Prepared by: George Boueri, Senior IOE Student Jamie Odegard, Senior IOE Student Alex Richard, Senior IOE Student December 12, 2007 Table of Contents Executive Summary...…………………………………………………...…..…………………….4 Introduction……………………………………………………………...….…………………….6 Goals and Objectives…………………..……………………………………..…………………...6 Background…………………………………………………………………….………………....6 Methodology…...…………………………………………………..…………………………......8 Step 1: Identified Preoperative Process and Determined Area of Focus.…………..……8 Step 2: Determined Data Collection Process……………………..……………………...9 Step 3: Performed Data Collection……………………………..……...……………….....9 Step 4: Analyzed Data and Developed Process Improvement Recommendations…....…10 Findings……….………………….………………………………………………….…………..10 Overall Variability Between Patients.………………………………………….…..……10 Unobserved Initial Staff Perceptions…………………………………...…………..……11 Frequency of Missing Information..……...………………...............................................12 Impact of Missing Information…..................................................................................…13 Patient and Work Flow – Complete Versus Incomplete Information……………….…...17 Additional Observations………………………………………………………………....17 Conclusions…………………………………………….….……………..………………………20 Recommendations…….………………………………..….……………………………..………21 Appendix A – Original Data Collection Sheet………………......………………………………22 Appendix B – Swim Lane Diagrams……….………………….…...……………………………23 Appendix C – Limitation and Difficulties of Collected Data...…………….……………………26 Appendix D – Pre-Op Value Stream Map…………………….....………………………………28 Appendix E – Raw Data…………………………………………………………...…………….29 2 Figures and Tables Figure 1 – General Pre-Op Process Flowchart………………………………………..…………..7 Figure 2 – Distribution of Observed Services…………………………………………………....10 Table 1 – Total Time Spent in Pre-Op: Observed vs.. ORMIS…………………………………..11 Figure 3 – Frequency of Missing Patient Information……………………………………...…....12 Figure 4 – Missing Patient Informati

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