A structured approach to transforming a large public hospital emergency department via lean methodologies.

Emergency Departments (EDs) face significant challenges in providing efficient, quality, safe, cost-effective care. Lean methodologies are a proposed framework to redesign ED practices and processes to meet these challenges. We outline a systematic way that lean principles can be applied across the entire ED patient experience to transform a high volume ED in a safety net hospital.

Identification of vascular bleeding complications after cardiac catheterization through development and implementation of a cardiac catheterization risk predictor tool.

Retroperitoneal bleeding, femoral hematomas, femoral artery dissection, and pseudoaneurysms can be devastating complications of cardiac catheterization procedures. A practice team in our organization completed a review of literature and developed a Cardiac Catheterization Risk Predictor Tool based on evidence-based research. The aim of this risk predictor tool is to identify predisposing risk factors that place a patient at a greater risk of developing vascular bleeding complications after cardiac catheterization.