Percentage of Delayed Patients in Observation Rooms-ER

( / ) - Yes
(/) yes (X) no ( x ) - No

MONTH 1 1433
FACTORS AFFECTING THE DELAY OF SURGICAL PROCEDURE CHECKLIST

NO FACTORS

E R N 1 1 6 1 1 0 9

E R N 1 1 6 1 3 4 6 x

E E E E R R R R N N N N 1 1 6 1 9 5 7 x 1 1 4 9 2 8 5 x 1 1 4 9 3 7 7 / 1 1 4 9 3 6 9 /

E R N 1 1 5 0 6 5 4 /

E E E E E E E E E R R R R R R R R R N N N N N N N N N 1 1 5 0 6 6 0 x 1 1 8 1 5 7 8 / 1 1 5 1 6 0 5 x 1 1 5 3 4 7 2 / 1 1 5 4 7 5 7 / 1 1 5 4 9 7 5 / 1 1 5 5 6 4 9 / 1 1 5 5 6 8 0 x 1 1 5 6 6 7 2 /

E R N 1 1 5 6 8 2 2 x

E R N 1 1 5 7 1 5 1 /

E E E E R R R R TOTAL N N N N 1 1 5 7 7 9 4 / 1 1 5 9 3 9 4 x 1 1 5 9 4 4 0 / 1 1 6 2 1 4 2 x 12

PERCENTAGE

Delay of Attending Physicians

55%

Incomplete and Investigations

delayed

laboratory

20

91%

3 4 5

Delayed records

files requested from medical

x x x

x x x

x x x

x x x

x x /

x x /

x x /

/ x /

/ x x

/ / x

x x /

/ / /

x x x

/ / x

/ x x

x / x

x / x

/ x x

x x /

x / /

/ x /

/ x /

9 6 10

41% 27% 45%

Delayed radiological Procedures Shortage of Nurses TOTAL: 22

Formula: 4 Total # of pt's delayed due to rad. procedures x 100 Total # of patient delayed in observation room E.R ( / ) - Yes Formula: 5 Total # of pt's delayed due to nurses shortage x 100 Total # of patient delayed in observation room E.R

Formula: 1 Total # of pt's delayed due to attending doctors x 100 Total # of patient delayed in observation room E.R

( / ) - Yes

Formula: 2 Total # of pt's delayed due to lab reports x 100 Total # of patient delayed in observation room E.R

Formula: 3 Total # of pt's delayed due to medical record x 100 Total # of patient delayed in observation room E.R

Percentage of Delayed Patients in Observation

FACTORS AFFECTING THE DELAY OF PATIENT ADMITTED IN OBSERVATION ROOM ER E E E E E E R R R R R R # # # # # # FACTORS 1 1 6 3 0 4 7 1 1 6 3 1 0 3 1 1 6 4 7 1 2 8 0 6 1 3 4 5 1 3 1 5 1 1 7 1 2 2 4 1 1 7 1 2 3 7 1 1 7 5 6 0 0 1 1 7 5 6 1 2 1 1 7 5 9 8 0 1 1 6 5 1 9 9 3 2 6 4 3 5 2 1 1 6 5 5 0 9 1 1 6 5 8 9 5 1 1 6 7 0 2 1 1 1 8 7 0 1 4 2 1 2 1 1 1 7 1 4 2 7 1 1 7 2 3 9 1 1 1 7 2 4 7 6 1 1 7 2 9 9 7 1 0 3 1 1 7 4 5 3 7 E R # E E R R # # E R # E R # E R # E E R R # # E R # E R # E R # E R # E R # E R # E R # E E E E R R R R # # # #

NO

TOTAL

Delay of Attending Physicians

17

68%

2 Incomplete and Investigations delayed laboratory

24

96%

3 4

Delayed records

files requested from medical

/ /

/ /

x x

x x

/ x

/ x

/ /

x /

/ /

x /

/ /

x x

x x

x x

x x

x x

x x

x x

/ x

/ x

/ /

/ x

/ /

/ x

/ /

14 10

56% 4%

Delayed radiological Procedures

Shortage of Nurses TOTAL: 25

10

4%

Rooms-ER

MONTH 2, 1433

YES (/) NO (X)

( / ) - Yes

TOTAL NUMBERS/ PERCENTAGE

MONTH 1 FACTORS
Delay of Attending Physicians Incomplete and Investigations delayed laboratory

MONTH % TOTAL # 17 24 % 68 96%

MONTH 3 TOTAL# 9 11 % 56% 69%

TOTAL # 12 20

55% 91%

Delayed records

files requested from medical

9 6 10

41% 27% 45%

14 10 10

56% 4% 4%

4 2 7

25% 13% 44%

Delayed radiological Procedures Shortage of Nurses

GRAPHICAL DIAGRAM OF FACTORS CONTRIBUTING TO PATIENTS DELAY IN E.D OBSERVATION ROOMS

CRITERIA
120%

100%

80% month1 60% month2 month3

40%

20%

0% attending physicians laboratory reports medical fiel rad procedures nurses shortage

FISHBONE ANALYSIS

MACHINE (TOOLS)

MAN (PEOPLE)

Doctors Clips for shaver Electrical shaver Patient DELAY OF SENDING the PATIENT TO THE OPERATING ROOM Policy and Procedure to be applied Soap, water, gauze,and blade

Patient Affair

Within the area of the patients room

METHODS (PROCEDURES)

MATERIALS

MEASUREMENT/ ENVIRONMENT

Percentage of Delayed Patients in Observation Rooms-ER

(/) yes

(X) no

( x ) - No MONTH 3 143

( / ) - Yes
FACTORS AFFECTING THE DELAY OF SURGICAL PROCEDURE CHECKLIST M R N 1 1 7 7 1 0 8 2 / M R N 1 1 8 2 8 7 5 x M R N 1 1 8 5 9 9 1 / M R N 1 1 8 7 5 6 0 / M R N 1 1 7 5 1 9 8 x M R N 1 1 7 6 8 1 5 x M R N 1 1 7 8 0 7 5 / M R N 1 1 8 1 2 2 4 x M R N 1 1 8 1 5 7 8 x M R N 1 1 8 4 0 7 8 x M R N 1 1 8 6 9 8 4 x M R N 1 1 8 7 6 0 9 / M R N 1 1 8 7 6 4 7 / M R N 1 1 8 7 6 0 8 / M R N 1 1 8 7 7 9 1 / M R N 6 2

NO FACTORS

TOTAL

PERCENTAGE

Delay of Attending Physicians

56%

Incomplete and Investigations

delayed

laboratory

11

69%

3 4 5

Delayed records

files requested from medical

/ x /

x / x

x x /

x x /

x / x

x x x

x x /

x x /

/ x x

x x x

x x x

x x x

x x /

/ x x

x x /

/ x x

4 2 7

25% 13% 44%

Delayed radiological Procedures Shortage of Nurses TOTAL: 16