Linda K. Kosnik

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This article describes the journey of a multidisciplinary reengineering team, which worked to reduce a critical, high-leverage process in an emergency department setting. The process selected was emergency department radiology services. This process was selected on a rational basis. The team knew tht 60 percent of our emergency department patients were(More)
The purpose of this article is to explore some of the tools and technologies available in operations management in health care in general and in emergency medicine in particular. The intent is to stimulate the reader to explore some of these approaches and tools in further detail. Various theories are noted, but the intent of this article is to be eclectic(More)
The literature is replete with examples of collaborative studies and research from 1960 to about 1995, after which the movement seems to have lost momentum. With the emergence and focus on patient safety issues, the importance of collaboration and a team approach to patient care has become paramount. CRM is a communication methodology developed by the(More)
As stated at the outset of the Microsystems in Health Care series, the health system is composed of a few basic parts—front-line clinical microsystems, overarching macrosystems, and patient subpopulations needing care. (Part 1) Microsystems thinking makes several organizational assumptions: 1. Bigger systems (macrosystems) are made of smaller systems 2.(More)
In our efforts to reduce cardiac morbidity and mortality we often use terms such as the "battle" or "war" on heart disease. If we believe efforts to reduce cardiac disease are the moral equivalent of war, then perhaps we should explore ways that military strategic and tactical metaphors can be applied through technology to the cardiac battle. In this(More)
BACKGROUND The microsystem, as agent for change, plays a critical and essential role in developing and deploying the macrosystem's strategic plan. STRATEGIC PLANNING AND MICROSYSTEM THINKING To effectively deploy a strategic plan, the organization must align the plan's goals and objectives across all levels and to all functional units. The concepts of(More)