1、 9.Exam by doctor医生检查10.Wait for lab work等待实验室检查11.Lab work实验室检查12.Wait for diagnosis等待诊断13.Diagnosis诊断14.Wait for discharge等待出院15.Discharge出院Step 1:List all steps in the process from beginning to end.将流程从进入医院到出院的每一步列举出来创建有意义的流程图Using the Value-added Flowchart to Improve a Process用有意义步骤的流程图来对流程进行改善A
2、nalyze the non value-added steps分析无意义的步骤Identify actions to reduce or eliminate these operations.采取行动减少或消除这些操作Analyze the value-added steps分析有意义的步骤Identify improvement opportunities and implement actions to reduce the cycle time.分析继续改善的可能，并采取行动减少整个流程所耗费的时间Now that you have examined your process and
3、have constructed a flowchart,ask yourself.审视过流程图后，还要反复问自己：Are we using the flowchart?我们是否按流程图操作的？Is it driving change?使我们的工作改变了什么？Example:Door-to-balloon time is 110 minutes goal is 85 minutes D2B时间是110分钟，而目标是85分钟How do you know where the breakdown is occurring in your process?你如何从流程图中问题发生在什么地方？美国时间点的节省美国时间点的节省o院前可传输心电图、心肌酶等诊断信息-快速诊断o院前急救系统可以绕过急诊直接启动导管室-快速治疗o院内智能化设备-快速分诊、排查、绿色通道o院内信息化管理-快速分层管理o社区医疗-普及公众的知识-及早就诊o清晰地流程图-人员职责明确
