TTC House,
Hadley Park,
Telford, Shropshire TF1 6QJ
Tel: 01952 677660
Fax: 01952 605716
Email: info@shp-uk.com
Visit to John H Stroger, Jr. Hospital of Cook County Emergency Department
A team from SHP attended the International Healthcare Symposium in Chicago in September 2009 which included a visit to this new large Emergency Department. As the oldest public hospital in the United States, this 89 year old hospital needed a 21st century facility to optimize patient care and financial performance within a limited amount of space that will be easily adaptable for the future. The new Emergency Department manages up to 120,000 adult attendances per annum.
No decontamination area
Open triage with no privacy
Inadequate resuscitation with lack of privacy
Inadequate isolation rooms
The new Emergency Department has a clinical triage area at the front of A&E for paediatric and adults, using dedicated triage bays to improve patient privacy.
The Department provides 64 adult treatment bays which are divided into 3 PODs using an emergency severity index (ESI) to clinically triage patients; POD 1 fast track/asthma and gynae including 10 chairs for asthma patients, POD 2 ESI 1-2 levels and POD 3 ESI 3 with psychiatrics. A separate paediatric area is provided and managed by the emergency team, along with a 25 bed observation area for chest pain, cellulites, diabetes and asthma, also run by the emergency team. The department has the ability to flex capacity according to demand and to close down each POD in the event of disease outbreak or infections. The new build has increased the number of isolation rooms and provides 4 individual resuscitation bays with an additional isolation resuscitation bay.
Key Lessons Learnt:
- Nursing substations closer to patients i.e. distributed
- Open window/visibility to monitor waiting room
- Bed side registration, rather than private area
For further details please contact our main office on 01952 677660 or email:info@shp-uk.com