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Optimizing Patient Flow |
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AbstractIHI and approximately 50 hospitals have been working together to evaluate what influences the smooth and timely flow of patients through hospital departments, and to develop and implement methods for improving flow. Specific areas of focus include reducing waits for inpatient admission through emergency departments, achieving timely and efficient transfer of patients from the intensive care unit and the post-anesthesia care unit (PACU) to medical/surgical units, and improving flow from the inpatient setting to long-term care facilities. While few hospital areas are designed to achieve optimal flow of patients, the emergency department, intensive care unit, and operating rooms and their related pre- and post-care areas tend to be major bottlenecks because they are non-interchangeable resources. Reducing delays and unclogging bottlenecks depends on assessing and improving flow between and among these departments, and throughout the entire system, rather than in isolated departments.
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