Transcript PowerPoint Template - Georgia Institute of Technology

Field Observations –
Northside/Piedmont
Hospitals
Maxim, Samrudhi, Pallavi
October 5, 2010
HS 8300
Outline
Introduction
Northside Hospital
Piedmont Hospital
Conclusions
Introduction
 The original facility had
250 beds but has since
been expanded to 537
beds
 Northside has nearly
600,000 patient
encounters annually
 Nearly 1,800 physicians
and more than 5,000
employees
Introduction
 A major hospital in
northeast Atlanta,
Georgia
 The facility has 481
beds, all private rooms
 3,000 employees and a
medical staff of more
than 800 boardcertified, experienced
physicians
Decentralized
model of care
Nurses at bedside
Drugs at bedside
 Rotational booms
 Motorized driven beds
 Acoustical proof room
 Drugs maintained in a
wall
 Cabinet is too big for
nurses
 A nurse is too short
 No place if boom is
widely open
Dust between
boom arms
Total lack of EHR
More connection to the pharmacy
 American Recovery and
Reinvestment Act of 2009
 Smart drug cabinets
 Reduce the size of sinks/tables
Open visitation policy
Presence of intesivists
most of the time
Specialized nurses /
Nurse practitioners
 Patient vizualization
 Motorized driven beds
 Positive/Negative airflow
 No family comfort
 No drug cabinet in the
room
 Long waiting time for
beds
Too much alarms / music Lack of software
noise
communication
Errors due to sensitive
screens and pumps
Unused space
 American Recovery and
Reinvestment Act of 2009
 Noise filtering devices
 Smart drug cabinets
 More physical works for nurses in Piedmont
 Differences in patient visualization
 No differences between storage rooms
 1 fall in
the
last 2.5
years
Conclusions
 Motorized driven beds are standard in the hospitals
 Visualization of a patient is a problem in several cases
 No place to grow
 No medication cabins inside the rooms
 Lack of EHR / EMR in both hospitals