1. E MERGENCY R OOM O BSERVATIONS P ECHA K UCHA Jenny Liu BMED 8813 Fall 2012

2. E XPECTATIONS Crowded waiting rooms and hallways General confusion / stressful environment Large space to support ER’s capabilities 2

3. I MPRESSIONS Most were pretty positive Skewed by the expectation of the worst Focused on: General use of space Noise level Overall environment 3

4. P ROS : N OT CROWDED 4

5. O VERALL ER Did not span a large area of the hospital Compared to the pathology labs in Grady Pro: efficient use of space 5

6. O VERALL E NVIRONMENT Like an airport terminal 6

7. R EFLECTION Environment reflects the idea that people are doing their work quickly enough Ex: CULC building 7

8. C HECK - IN / R EGISTRATION Like a bank teller Feels very efficient 8

9. S ECURITY Came in the front door of the hospital and didn’t have to go through the metal detector Purpose? 9

10. C LUTTERED AND C RAMPED 10

11. C OMFORT 11

12. S IZE OF ROOMS 12

13. T RAUMA B AY : COMPARED WITH OR 13

14. D IRTY ROOMS Expected to see rapid turn-over time 14

15. N OISE L EVEL 15

16. I DENTIFIED P ROBLEM No electronic transfer of medical records from EMT to triage [Communication] 16

17. P RELIMINARY P ROBLEMS Clutter in the patient observation and triage rooms Can create additional stress on patients and family members 17

18. C ONCLUSION Seems to be a pretty efficient system Would need to see more ERs for comparison 18

19. R EFERENCES Lectures from class Tour guide at Grady: Eli Po Lecturers: Jeremy Ackerman, David Cowan, Ellen Do, Craig Zimring Pictures from: https://www.dropbox.com/home/HOF%20Grady http://inplacenews.wordpress.com/2008/08/06/cdc-says-emergency-room-wait-time- averages-an-hour/ http://www.sanfranciscosentinel.com/?p=25003 http://www.osha.org http://www.kaiserhealthnews.org/stories/2009/october/02/grady.aspx http://www.flickr.com/photos/jim_watkins/4265226327/ http://www.xkcd.com http://www.ajc.com http://ce.gatech.edu/media/news/5701 http://www.flickr.com/photos/georgiatech/6937981452/ Questions? 19