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P R O X I M I T Y O F C O M M U N I C A T I O N T w o o f t h e k e y p o i n t s o f o u r o b s e r v a t i o n r e l a t e t o t h e p r o x i m i t y a n d f l o w o f t h e c o m m u n i c a t i o n a c r o s s t h e l a b . T h e i m a g e s t o t h e l e f t a d d r e s s e a c h o f t h e s e v a r i a b l e s s e p a r a t e l y . T h e p i e c h a r t s h o w s t h e p r o x i m i t y o f t h e c o m m u n i c a t o r s , w h e t h e r t h e y w e r e i n t h e s a m e z o n e , d i f f e r e n t z o n e , o r d i f f e r e n t d e p a r t m e n t . T h e l a r g e i m a g e s h o w s t h e f l o w o f c o m m u n i c a t i o n b e t w e e n d e p a r t m e n t s . T h e a r r o w d e s i g n a t e s w h e r e t h e i n i t i a t o r o f t h e c o m m u n i c a t i o n n o r m a l l y w o r k s a n d w h e r e t h e r e c i p i e n t o f t h e c o m m u n i c a t i o n w a s . T h e n u m b e r s r e p r e s e n t t h e a m o u n t o f t i m e s t h i s t y p e o f c o m m u n i c a t i o n f l o w w a s o b s e r v e d . F r o m t h e p i e c h a r t i t c a n b e s e e n t h a t 4 6 % o f c o m m u n i c a t i o n s o c c u r w i t h i n t h e s a m e z o n e . T h e r e s t o f t h e c o m m u n i c a t i o n s t h a t w e r e o b s e r v e d w e r e s p i l t b e t w e e n t h o s e w i t h i n t h e s a m e r o o m b u t a d i f f e r e n t z o n e a n d t h o s e f r o m a d i f f e r e n t d e p a r t m e n t w i t h 2 9 % a n d 2 5 % r e s p e c t i v e l y . T h i s s h o w s t h a t p e o p l e o f t e n a s k q u e s t i o n s o r s h a r e i n f o r m a t i o n w i t h t h o s e d i r e c t l y a d j a c e n t t o t h e m . T h i s p o i n t c o u l d h a v e d r a s t i c i m p l i c a t i o n s f o r t h e d e s i g n o f t h e f u t u r e s p a c e . I f t h o s e w i t h t h e m o s t k n o w l e d g e a r e n o t l o c a t e d w i t h i n e y e s i g h t o r d i r e c t l y a d j a c e n t t o t h o s e t h a t n e e d t h e i n f o r m a t i o n i t m a y p r o v e t o h a v e a h u g e e f f e c t o n e r r o r r a t e s a n d p a t i e n t s a f e t y . T h e d i f f e r e n t d e p a r t m e n t d a t a h a s b e e n b r o k e n d o w n i n t o w h a t d e p a r t m e n t t h e c o m m u n i c a t i o n c a m e f r o m a n d w h a t d e p a r t m e n t t h e c o m m u n i c a t i o n w e n t t o . T h i s w a y a b e t t e r u n d e r s t a n d i n g o f t h e c o m m u n i c a t i o n f l o w s a c r o s s t h e l a b c a n b e g a r n e r e d . F r o m t h e i m a g e i t c a n b e s e e n t h a t a m a j o r i t y o f t h e c o m m u n i c a t i o n r e v o l v e s a r o u n d t h e a c c e s s i o n r o o m . O f t h e 4 4 t o t a l d i f f e r e n t d e p a r t m e n t c o m m u n i c a t i o n s o b s e r v e d 1 3 o f t h e m ( 3 0 % ) o r i g i n a t e d f r o m a d m i n i s t r a t o r s a n d w e n t t o t h e a c c e s s i o n r o o m . T h e n e x t h i g h e s t v a l u e s a l s o i n v o l v e d t h e a c c e s s i o n r o o m w i t h 9 o b s e r v a t i o n s o r i g i n a t i n g i n t h e a c c e s s i o n a n d g o i n g t o c h e m i s t r y a n d 6 g o i n g f r o m a c c e s s i o n t o h e m a t o l o g y . As a r e s u l t o f t h e s e o b s e r v a t i o n s , t h e a d j a c e n c i e s w i t h i n t h e n e w l a b m i g h t b e b e s t i f t h e c u r r e n t k n o w l e d g e i s u s e d d u r i n g t h e f i n a l d e s i g n p r o c e s s 36
REASON FOR COMMUNICATION: IN EACH PART OF THE SPECIMEN PROCESS 50% 45% + 40% 35% + 30% + 25% +- 20% + 15% + + 10% 2% 18% 22% Registration Delivery to Core Lab Analysis Result 2% •Teamwork Necessity 10% + 9% Lack of process 5% 15% 5% knowledge +c 0% 1% 4% 5% Lack of Best + T •Practices• Other 37
Page 1 and 2: CAYUGA MEDICAL CENTER LABORATORY P
Page 4 and 5: EXECUTIVE SUMMARY H e a l t h c a r
Page 6 and 7: BACKGROUND What is a “culture of
Page 8 and 9: BACKGROUND F ro m th e p re v i o u
Page 10 and 11: BACKGROUND T h i s s ys te m s a p
Page 12 and 13: BACKGROUND T h i s p o i n ts to th
Page 14 and 15: METHODOLOGY 1.4
Page 16 and 17: METHODOLOGY Communication observati
Page 18 and 19: RESEARCH PROTOCOL T h e c o m m un
Page 20: OBSERVATION TOOL ANALYSES 20
Page 23 and 24: S O U R C E S O F C O M M U N I C A
Page 25 and 26: S O U R C E S O F C O M M U N I C A
Page 27 and 28: T I M E B Y T Y P E O F C O M M U N
Page 29 and 30: T I M E B Y T Y P E O F C O M M U N
Page 31 and 32: REASON FOR TYPE OF COMMUNICATION: R
Page 33 and 34: REASON FOR TYPE OF COMMUNICATION: 3
Page 35: REASON FOR TYPE OF COMMUNICATION: R
Page 38 and 39: R E A S O N F O R T Y P E O F C O M
Page 42: R E A S O N F O R C O M M U N I C A
Page 45 and 46: 12 11 10 2 8 1 8 Accession Social N
Page 47 and 48: 2 1 0 T Dawn Cornwall Bridget Munso
Page 49 and 50: 1 SOCIAL NETWORK ANALYSIS: HEMATOLO
Page 51 and 52: C O M M U N I C A T I O N : P R E F
Page 53 and 54: CONCLUSION 49
Page 55 and 56: G O I N G F O R WA R D : T H E R O
Page 57 and 58: 0 w 1 Communication Recording Instr

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