sixsigmadeewana

Brit
I agree with the discharge lounge. But I think for our setting that might not solve the problem.
On the same issue……. Is there a way to get around waiting for depart order to be put in? Is there a way to put a “dummy depart order” one day earlier. If the pt. is stable the next day, the nurses dont have to wait for the depart order to…[Read more]

Thats interesting coz I did an analysis to support my argument. I calculated the average discharge time grouped by floors. It was anywhere between 3 to 9 hrs.
Its interesting to see that you are pursuing similar things with similar issues and even solutions. Can you elaborate a bit more on how the responsibilities of your RN’s will change?

Brit
What are some of barriers that your team is facing?
Some of barriers for us are having physicians round at specific times, not having enough nursing staff, and increasing work load on nurses if they round with the physicians.Being a community hosp. it makes it harder to persuade physicians to do anything.

Brit
That makes sense… Geometric mean is calculated since there is so much variability  in the LOS data and also because it follows a non-normal distribution. When you think of it this way, it does not make sense to calculate the arithmetic mean LOS since it is so biased. I think they calculate AM LOS so that it is easier for the common person…[Read more]

Brit
That was partially helpful. It does answer how to calculate it, not why do we need GM LOS?
 

I am working on a related issue with patient transportation for pts. with telemetry…
Do you really need a CN to accompany a pt. while transporting?
We thought about having a Telemetry transportation team  where a group of individuals would transport patients. This would save some time for the nurses.
Has anyone worked on these issues?

Thanks.
Did it save time for your docs?
One of our discharge time reduction initiative is to enable the docs to login quickly so that they can document the pt. faster. Although I dont have data for this at this point, I know finger scanning should be faster than loggin on and stuff. Do you have any data? Can you share?
Feel free to call me at…[Read more]

Brit
Can you send me the set of criteria for identifying patient falls?
My email is [email protected]
 

just checking !!!!

you took all the measurements yourself ?????? That woudnt be a R&R then…It would be more like capability study…

I agree Adrian…this data somehow seems to be “made up” …. or the measurement system needs refinement. But to answer your original question, the Cp that you calculated was correct but the distribution is not normal, so you cannot really use Normal dist.

This is not a normal distribution. p value is 0.023.
As Sandor pointed out, there is a mixture of 2 or more populations here. I also think, you need to take a look at the measurement system. Is it adequate? Is it working correctly? Or even, Are the operators making up these numbers?
The limits that you specified in the first post, are they the…[Read more]

means you have a lot of variation in the process and possibly a bi modal distribution. can you uplolad the data file on this forum?

Dont add codes without understanding the process. See if the operators are filling in the codes correctly. One of the issues I have seen is… operators always used the first code from a list of codes since it was “easier” to use it. Is there such a “bias” in your system? You need to check all this before changing the system.
Then, I suggest…[Read more]

what formula are you using for Cp?

How many codes fo you have? Also as per the previous poster’s idea, can you try and combine the codes. From personal experience, do NOT use the code OTHERS or MISCELLANEOUS.
Try conducting time studies.

Since the check is a Pass or Fail you would need to use attribute charts. Is the flatness spec. so strict or can you allow some variation /tolerance in flatness?
Due to low production, and complexity of measurement the sample size will always be low.
What are you trying to acheive or what do you think you will get by plotting control charts?…[Read more]

I would recommend that you should take the worse possible scenario and do a gauge r&r on it.
Choose 3 different angles that you would commonly use to check the parts. Use 10 parts and check each part 3 times in one location. The 3 different angles will act as 3 operators.
The variation between the readings of different angles for same part is…[Read more]

What are you trying to do?
 

high level would be bird’s eye view….so it will not be detailed.
low level is detailed.