Flow Physics 104: The Clinical Engines

Categories: Flow Physics
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About Course

Part of When Beds Don’t Move: The Course, six Flow Physics modules of patient flow training for hospital leaders.

Module 4 of When Beds Don't Move: The Course. Learn how the three clinical engines, the ED, PACU, and the inpatient units, show whether the rest of the hospital did its job: why the ED reports a surge instead of causing it, why PACU holds are a release problem, why units run out of bandwidth before they run out of beds, and how discharge timing frees morning capacity without adding staff. 2.0 CE hours. Counts toward CHTI and CPTMP renewal.

This module is built from Donald Sipp's book When Beds Don't Move, which reached #1 in Hospital Administration and Care on Amazon. The book is not required to take the course.

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What Will You Learn?

  • Why the ED reports system pressure instead of causing it, and why ED flow is governed by outflow
  • Why ED-only fixes rarely reduce boarding, and how boarding tracks First Movement Time
  • Why PACU is a release engine, and how to confirm first-wave exits before the next wave
  • Why inpatient units run out of bandwidth before they run out of beds
  • How discharge timing, not discharge volume, frees morning capacity

Course Content

Flow Physics 104: The Clinical Engines
Eight lessons on the ED, PACU, and inpatient units: how the clinical engines receive the day the support engines set up, and how to clear their exits.

  • The ED Reports; It Does Not Cause
  • Outflow, Not Inflow
  • Why the ED Cannot Fix Itself
  • PACU Is a Release Engine
  • Waves, Not Patients
  • Inpatient Units Are Bandwidth
  • The Discharge Timing Architecture
  • Practice Lab: Clear the Exits
  • Flow Physics 104 Knowledge Check

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