flowcharting_medical_processes.ppt

7/24/2019 flowcharting_medical_processes.ppt

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Flowcharting Medical Processes

How to Draw Flowcharts


2/21

Purpose of Flowcharting

Show the steps involved within the

process.

Determine where delays are, their causes,how to reduce them.

Aid in communication of thoughts, ideas,

and procedures.


3/21

asic Flowcharting Shapes

Action or Process

Decision

Start/End

Flow

Delay

!he terminator sym"ol mar#s the starting or endingpoint of a system.

!he delay sym"ol mar#s a delay in the system

showing that the ne$t occurrence is not instantaneous.

!he decision sym"ol mar#s a decision or "ranchingpoint. Decisions are always "inary %i.e. &yes' or&no'(.

!he process sym"ol can represent a single step or anentire su")process.

*ines indicate the se+uence of steps and the directionof flow.


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asic Flowchart

Start

Delay

Choice ProcessProcess Delay EndChoiceYes

No

Yes

Choice

No

Yes Process

ProcessNo

!he a"ove is an e$ample of a "asic flowchart. *i#e most

things, flowcharts can "e simpler or more comple$.


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Developing a FlowchartHere is an e$ample of flowcharting in a clinic.

hec# -n

A flowchart alwaysstarts with a

terminator, usually

the terminator is a

process however, it

can sometimes "eassociated with a

decision that has

only one result.

hec# -n


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Handling Delays /ithin a Process

,hec# -n /ait 0oom

/ait 0oom


7/21

Decisions, Decisions, Decisions

hec# -n1athered

-nfo2

3es/ait 0oom

4o

Decisions are important in determining what path to

follow as a result of previous events. -n the e$ample

a"ove, as long as the info has not "een gathered, the

patient continues to wait in the waiting room.

1athered

-nfo2

3es

4o


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Actions and Processes

hec# -n1athered

-nfo21ather -nfo3es/ait 0oom

4o

1ather -nfo


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And the loc# 5eeps !ic#ing

hec# -n1athered

-nfo21ather -nfo3es/ait 0oom /ait 0oom

4o

4otice the additional delay of

the waiting room, that the

process &1ather -nfo' leads to

another delay instead of the

previous delay. !his negatesthe need to &1ather -nfo'

again, as it has already "een

gathered.

/ait 0oom


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1ot 4urse2

hec# -n1athered


4urse

Availa"le2

4o

3es

4o

As can "e seen from this diagram, choicesdirectly relate the path that the remainder of

the system passes. -n this e$ample notice

that if no nurse is availa"le the patient

remains in the waiting room.

4urse

Availa"le2

4o

3es


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6"taining 7itals

hec# -n1athered


4urse

Availa"le2

4o

/eight,

Pulse, Meds,

8 P

3es

4o

/eight,

Pulse, Meds,

8 P


12/21

/hat9s 4e$t2

hec# -n1athered


4urse

Availa"le2

4o

/eight,

Pulse, Meds,

8 P

:$am 0oom

Availa"le2

4o

3es 3es

4o

!his shows a "ranchingof the overall process.

/hat happens if the

e$am room is not

availa"le2 /hat does thepatient do if the room is

availa"le2/eight,

Pulse, Meds,

8 P

:$am 0oom

Availa"le2

4o

3es


13/21

/e9re 6ff to See the /i;ard, or are /e2

hec# -n1athered


4urse

Availa"le2/ait 0oom

4o

/eight,

Pulse, Meds,

8 P

:$am 0oom

Availa"le2

4o

!a#e to

:$am 0oom 3es 3es

4o

/ait 0oom

:$am 0oom

Availa"le2

4o

!a#e to

:$am 0oom 3es


14/21

2

hec# -n1athered


4urse

Availa"le2/ait 0oom

4o

/eight,

Pulse, Meds,

8 P

:$am 0oom

Availa"le2

4o

!a#e to

:$am 0oom

3es

:$am

0oom

3es

4o

Delays show thatthe system is not

flawless, reducing

the num"er and

length of delaysimproves patient

discharge time.

/ait 0oom /ait 0oom

/ait 0oom:$am

0oom

?)@

?)@

?)?B)?


15/21

Medicine Cpdate

hec# -n1athered


4urse

Availa"le2/ait 0oom

4o

/eight,

Pulse, Meds,

8 P

:$am 0oom

Availa"le2

4o

!a#e to

:$am 0oom

3es

:$am

0oom

3es

Cpdate Meds

4o

Cpdate Meds


16/21

All - :ver Do is /ait.

hec# -n1athered


4urse

Availa"le2/ait 0oom

4o

/eight,

Pulse, Meds,

8 P

:$am 0oom

Availa"le2

4o

!a#e to

:$am 0oom 3es

:$am

0oom

3es

Cpdate Meds:$am

0oom

4o

:$am

0oom


17/21

-s !here a Doctor in the House2

hec# -n1athered


4urse

Availa"le2/ait 0oom

4o

/eight,

Pulse, Meds,

8 P

:$am 0oom

Availa"le2

4o

!a#e to

:$am 0oom3es

:$am

0oom

3es

Cpdate Meds:$am

0oom

4o

MD

Availa"le2

4o

3es

:$am

0oom

MD

Availa"le2

4o

3es


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Finally0esults.

hec# -n1athered


4urse

Availa"le2/ait 0oom

4o

/eight,

Pulse, Meds,

8 P

:$am 0oom

Availa"le2

4o

!a#e to

:$am 0oom3es

:$am

0oom

3es

Cpdate Meds:$am

0oom

MD

-nteraction

4o

MD

Availa"le2

4o

3es

MD

-nteraction


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*et9s 1o Home

hec# -n1athered


4urse

Availa"le2/ait 0oom

4o

/eight,

Pulse, Meds,

8 P

:$am 0oom

Availa"le2

4o

!a#e to

:$am 0oom3es

:$am

0oom

3es

Cpdate Meds:$am

0oom

MD

-nteraction

hec# 6ut

4o

MD

Availa"le2

4o

3es A flowchart usually ends with a

terminator, designating the end of the

process. However, occasionally, the

flowchart will end with a decision if it is

necessary to complete the process again

after the process has "een completed.,hec# 6ut


20/21

*oo#ing ac#

hec# -n1athered


4urse

Availa"le2/ait 0oom

4o

/eight,

Pulse, Meds,

8 P

:$am 0oom

Availa"le2

4o

!a#e to

:$am 0oom3es

:$am

0oom

3es

Cpdate Meds:$am

0oom

MD

-nteraction

hec# 6ut

4o

MD

Availa"le2

4o

3es

?)@

?)@

?)?B)?B)?

@

?

@

@

B

!he delay times and the process

times have "een overlaid here to

allow for interpretation of time

spent in each stage of the process.

!otal /aitE @)G min.

!otal -nteractionE @ min.


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Designing a etter Flowchart

Determine the wea#nesses of the systemand how to improve efficiency.

/hat is the "est method to reduce delays2 Does every patient need to see the MD2

Does every patient need to see a 042

Design choices to progress in parallel"ranches, where returning to a previousstep is minimi;ed.

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