Ward Redesign Pilot Data
21 February 2014
Methods
• Dates covered: 2/11 at 7am – 2/17 at 7am
• One day cycle: beginning of Silver shift (Early on
weekend) – end of Night Float shift
• Data sources:
– Censuses printed at 7am every day
– Questionnaire asked of teams in AM after day cycle
complete
– Admission Triage sheet used to track admission
evaluations, admissions, teams to which patient
admitted
• If discrepancies, censuses compared day of and
day after
Daily Medicine Services Census
85
78
85
78
74
72
68
2.11
= weekend day
2.12
2.13
2.14
2.15
2.16
2.17
Daily Team Censuses
14
12
10
8
6
4
2
0
Red
White
Purple
2.11
Blue
2.12
2.13
Green
2.14
2.15
Gray
2.16
2.17
Gold
Silver
Average Daily Team Censuses
12
10
8
6
4
2
0
Red
White
Purple
Blue
Green
Gray
Gold
Silver
Daily Censuses Based on Day in Call
Cycle
14
12
10
2.11
2.12
8
2.13
2.14
2.15
6
2.16
2.17
4
2
0
MICU Accept Team
Early Call Team
Backup
Late Call Team
Night Accept Team
Protected Team
Average Daily Censuses Based on Day
in Call Cycle
14
12
10
8
6
4
2
0
MICU Accept
Team
Early Call Team
Backup
Late Call Team
Night Accept
Team
Protected Team
Gold
Silver
Daily Additions to Censuses
7
6
5
2.11-2.12
4
2.12-2.13
2.13-2.14
2.14-2.15
3
2.15-2.16
2.16-2.17
2
1
0
MICU Accept
Team
Early Call Team
Gold
Backup
Late Call Team
Silver
Night Accept
Team
Protected Team
Average Daily Additions to Censuses
3.5
3
2.5
2
1.5
1
0.5
0
MICU Accept
Team
Early Call Team
Gold
Backup
Late Call Team
Silver
Night Accept Team Protected Team
Daily Admission Evaluations Performed
13
12
11
10
9
8
2.11-2.12
2.12-2.13
7
2.13-2.14
6
2.14-2.15
2.15-2.16
5
2.16-2.17
4
3
2
*
*
1
0
Silver
Early Call
* = data not available
Late Call
Gold
Backup
Night Float
MICU Accept
Team
Night Accept
Team
Average Daily Admission Evaluations
Performed
10
9
8
7
6
5
4
3
2
1
0
Silver
Early Call
Late Call
Gold
Backup
Night Float
MICU Accept Team Night Accept Team
Daily Admissions Performed
10
9
8
7
6
2.11-2.12
2.12-2.13
5
2.13-2.14
2.14-2.15
4
2.15-2.16
2.16-2.17
3
2
1
0
Silver
Early Call
Late Call
Gold
Backup
Night Float
MICU Accept
Team
Night Accept
Team
Average Daily Admissions Performed
7
6
5
4
3
2
1
0
Silver
Early Call
Late Call
Gold
Backup
Night Float
MICU Accept TeamNight Accept Team
Daily MICU Transfers Performed
3
2.5
2
2.11-2.12
2.12-2.13
2.13-2.14
1.5
2.14-2.15
2.15-2.16
2.16-2.17
1
0.5
0
MICU Accept Team Early Call Team
Gold
Backup
Late Call Team
Night Float
Silver
Average Daily MICU Transfers
Performed
2
1.8
1.6
1.4
1.2
1
0.8
0.6
0.4
0.2
0
MICU Accept Team
Early Call Team
Gold
Backup
Late Call Team
Night Float
Silver
Daily MICU Transfers + Admission
Evaluations
14
12
10
2.11-2.12
8
2.12-2.13
2.13-2.14
6
2.14-2.15
2.15-2.16
2.16-2.17
4
*
*
2
0
MICU Accept Early Call Team
Team
* = data not available
Gold
Backup
Late Call Team
Night Float
Silver
Night Accept
Team
Average Daily MICU Transfers +
Admission Evaluations
10
9
8
7
6
5
4
3
2
1
0
MICU Accept
Team
Early Call Team
Gold
Backup
Late Call Team
Night Float
Silver
Night Accept
Team
Daily MICU Transfers + Admissions
Performed
10
9
8
7
6
2.11-2.12
2.12-2.13
5
2.13-2.14
2.14-2.15
4
2.15-2.16
2.16-2.17
3
2
1
0
MICU Accept
Team
Early Call Team
Gold
Backup
Late Call Team
Night Float
Silver
Night Accept
Team
Average Daily MICU Transfers +
Admissions Performed
7
6
5
4
3
2
1
0
MICU Accept
Team
Early Call Team
Gold
Backup
Late Call Team
Night Float
Silver
Night Accept
Team
Daily Handoffs
4
3
2.11-2.12
2.12-2.13
2.13-2.14
2
2.14-2.15
2.15-2.16
2.16-2.17
1
*
*
0
Silver to Early
* = data not available
Early to Late
Late to Night Float
Night Float to Silver
Night Float to Early
Average Daily Handoffs
2
1.5
1
0.5
0
Silver to Early
Early to Late
Late to Night Float
Night Float to Silver
Night Float to Early
Thank You
• House staff
• Paula Cuevas
• Drs. Dana Davis, Patrick Rendon, Rush Pierce