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Health services innovation: evaluating process changes to improve patient flow


Fitzgerald, JA and Eljiz, K and Dadich, A and Sloan, T and Kobilski, s, Health services innovation: evaluating process changes to improve patient flow, International Journal Healthcare Technology and Management, 12, (3/4) pp. 280 - 292. ISSN 1758-7247 (2011) [Refereed Article]


Copyright Statement

Copyright 2011 Inderscience

DOI: doi:10.1504/IJHTM.2011.040479


In common with many countries, emergency departments (EDs) in Australia are under stress. To reduce 'access block' (where service demands exceed the ED's capacity) work processes in the ED of a public hospital were analysed using animated simulation. This article describes organisational culture changes supported by the use of simulation as an impartial form of analysis and communication. Data collected included time stamps and booking schedules in the imaging department (ID), semi-structured interviews and patient flow observations from the ED to the ID. Implementation of ID staff-suggested improvements resulted in a 25% increase in the capacity of the ultrasound department and a doubling of its ED cases. Improved communication between the ED and the ID, as a direct result of this project, has led to ongoing interdepartmental cooperation. One implication is that changes to health organisational culture can be assisted by computer simulations providing rapid and accurate predictions of change outcomes.

Item Details

Item Type:Refereed Article
Keywords:healthcare management; process improvement; culture change; organisational culture; patient flow; health services innovation; Australia; accident and emergency departments; A&E; public hospitals; animation; simulation; interdepartmental cooperation;
Research Division:Commerce, Management, Tourism and Services
Research Group:Strategy, management and organisational behaviour
Research Field:Organisational planning and management
Objective Division:Health
Objective Group:Evaluation of health and support services
Objective Field:Evaluation of health and support services not elsewhere classified
UTAS Author:Eljiz, K (Dr Kathy Eljiz)
ID Code:100964
Year Published:2011
Deposited By:Faculty of Business
Deposited On:2015-06-04
Last Modified:2017-11-23
Downloads:167 View Download Statistics

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