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  • Opening the lab a half-hour earlier to prevent long lines at the open of business
  • Shifting work schedules and staggering lunch hours to have more staff covering available time
  • Cross-training staff to register patients, process specimens and draw blood

 What can your team do to improve its workflow? 

 

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  • Having lab assistants, not runners, pick up blood samples at 6 a.m. and drop off specimens every half-hour
  • Using clinical lab scientists from other departments to help process blood in the morning
  • Moving weekend shifts for clinical lab scientists to 6 a.m. instead of 9 a.m.

 What can your team do to shift its workflow for the benefit of patients? 

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  • Having medical assistants take vitals instead of waiting for LPNs
  • Huddling twice daily to discuss needs and concerns
  • Dividing labor and shifting schedules where necessary

 What can your team do to huddle more often and more effectively? 

 

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  • Educating about the proper use of VTE orders for post-operative patients
  • Coordinating with pharmacists and other teams to ensure orders are followed
  • Outlining how the Joint Commission's SCIP guidelines can help improve compliance

 What can your team do to work with other teams to improve outcomes for patients? 

 

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  • Keeping gurneys and equipment where they are needed, and having staff speak with patients during transport
  • Cleaning and making the gurneys with sheets and blankets before they are needed
  • Designating a staff member to ensure equipment is placed where needed

What can your team do to make the best use of your "down time"?

 

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  • Hanging posters of cute kids as hand-washing reminders
  • Installing sanitizer dispensers in and outside of patient rooms
  • Making eye contact and talking with patients while washing hands

What can your team do motivate peers to hold each other accountable? 

 

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  • Identifying the number of patients off telemetry monitoring for longer than 3 minutes and why
  • Huddling to discuss the severity and consequences of the problem
  • Creating reminders to check monitors, and make it part of the routine

What can your team do hardwire improvements you make into your workflow?

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  • Surveying employees about attendance policies
  • Creating guidelines around sick days, tardiness and dangling (not filling out time cards)
  • Rewarding successful employees with a formal lunch

What can your team do to reward and recognize one another?

 

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  • Identifying which tests oncology patients actually need
  • Creating and issuing a "golden ticket" to get patients to the front of the line
  • Fast tracking the processing of labs before seeing the doctor

What can your team do to adjust your workflow in a way that puts the patient at the center?

 

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  • Using key phrases in malnutrition assessment to catch the attention of physicians
  • Bolding their recommendations in notes to doctors
  • Speaking directly to physicians about potentially malnourished patients

What can your team do to improve cooperation between physicians and other members of the care team?

 

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