A third improvement that can be made is with the scribe ’s attitude towards admitting. It is understandable to be frustrated with the system, especially when there is a patient emergency. If the scribe is aware of how slow the electronic system is, he/she should not speak so condescendingly to the staff in admitting. They need to work more on getting upper management to find a solution to this problem rather than turn against team members. In this case, a performance improvement team is appropriate. With a PI team, staff can appoint a team leader to keep progress organized and flowing, a team recorder to focus on charting, and a timekeeper so work is managed in a timely fashion. For the performance improvement team, I would include my admitting department. They are the first line of defense when patients come in and it is important to keep admitting in top shape. I would also include a member of administration such as chief officer and the emergency department ’s primary physician . I would appoint a team leader to send announcements, prepare
meetings, coordinate data collection, assign tasks, and keep the group focused. This would be the chief officer in administration. I would appoint a team recorder, considering that is the major issue at hand, to take charge of keeping records and updating patient data charts. I would make a member of admitting focus on recording. This would help the cath lab, the E.D, and the scribe with being able to view patient charts as soon as needed. In my P.I team I would appoint a facilitator as the team consultant and coach and a timekeeper to manage projects and meetings. I would appoint the primary physician in this position as he/she should be aware of all that occurs in his/her E.D. To help keep the team on task and organized I would keep a daily/weekly/monthly charter, so all staff members are aware of department goals.
- Fall '19