rotura engranaje

13:31 Mar 1, 2018
Spanish to English translations [PRO]
Medical - Medical (general) / Optometry
Spanish term or phrase: rotura engranaje
Pre-admission Check documentation/pupil dilation/hour fasting

• Evitar pérdidas de tiempo por fallo o rotura engranaje.
Comprobación documentación para confirmación del paciente y la programación correcta. Comprobación de la dilatación pupilar y la hora de ayuno de forma que si el paciente no esta suficientemente dilatado o la hora de ayuno no es correcto se modifica orden automáticamente poniendo en conocimiento y consenso dicho cambio con la enfermera a cargo de las valoraciones pre-quirúrgica. El cambio de orden en este punto evita la entrada y salida o espera de pacientes del área quirúrgica por falta de preparación y por tanto agilizar la entrada del siguiente paciente

This is from a pre-surgery checklist. Any help with rotura engranaje in this context would be much appreciated.
Lorna O'Donoghue
Local time: 08:57

Summary of answers provided
2 +1delays in the process/system/patient flow
Helena Chavarria

Discussion entries: 1



1 hr   confidence: Answerer confidence 2/5Answerer confidence 2/5 peer agreement (net): +1
delays in the process/system/patient flow

I understand it to mean unnecessary delays.

• Evitar pérdidas de tiempo por fallo o rotura engranaje.
• Avoid wasting time due to unnecessary delays in the system.
• Avoid wasting time due to delays in the patient flow.

I've found 'patient pathway' but I'm not 100% convinced that this is the right term.

The "patient pathway" is the route that a patient will take from their first contact with an NHS member of staff (usually their GP), through referral, to the completion of their treatment. It also covers the period from entry into a hospital or a Treatment Centre, until the patient leaves. You can think of it as a timeline, on which every event relating to treatment can be entered. Events such as consultations, diagnosis, treatment, medication, diet, assessment, teaching and preparing for discharge from the hospital can all be mapped on this timeline.

The pathway gives an outline of what is likely to happen on the patient's journey and can be used both for patient information and for planning services as a template pathway can be created for common services and operations. /http://www.dh.go...

6. Reduce Delays in Admission from the ED

The process of admitting patients from the ED is time-intensive, highly variable and frequently leads to delays. Difficulties in communication between ED providers and hospital physicians together with delays in having the right bed ready on time are the two major bottlenecks in the process. Visibility tools can allow physicians to identify delays in the system and react accordingly.

report concluded that “measures taken by hospitals and urgent care systems to improve patient flow through hospital departments other than A&E and back into the community may be highly effective in avoiding another sharp decline in A&E performance against the four-hour target this winter”.

While keeping the focus on quality of care, finding ways to streamline navigation processes and improving patient flow are crucial across the entire care continuum. Between an aging population who require increased healthcare needs and rising costs (that are also paired with shrinking reimbursement), today’s reality is that hospitals are being challenged to improve internal operations and improve efficiencies.

If a patient's haven't completed the paperwork or their eyes haven't dilated in time for their appointment, it slows down the whole process as it affects other patients. Everyone is kept waiting.

Note added at 7 hrs (2018-03-01 20:57:50 GMT)

*Sorry, I reworded my answer and obviously didn't do it properly!
If a patient's paperwork hasn't been completed...

Helena Chavarria
Local time: 09:57
Native speaker of: Native in EnglishEnglish
PRO pts in category: 332

Peer comments on this answer (and responses from the answerer)
agree  neilmac
17 hrs
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