Pull Patterns

Emergency room employees and health care providers tackle multi-activities simultaneously. Thus, they employ push and pull patterns to accomplish all their tasks. Saadoun (n.d.) stated that push patterns are also referred to as push control, and it is a system in which work tasks are actively disseminated accordingly and determines if the employee can view and/or choose several work items. An example of this push phenomenon is the claim processing (Saadoun, n.d.). In contrast, pull patterns also known as pull control are “resources that proactively identify and commit to work items” (Saadoun, n.d.). In addition, the pull system may recommend pressing work items that need tending or it suggests multiple views for available work tasks. The check-in
It has been shown that HIE can enhance the quality of healthcare, decrease health costs, and forge relationships with the public health sector in relation to alerting them of epidemics promptly. In a similar vein, employees use the HIE to conduct push and pull workflows based upon the patient’s needs. For instance, push HIE replaces paper-based processes that sustain point-to-point transactions, i.e., providing results from a laboratory to a physician or referring a patient from one provider to another (Campion et al., 2012). These are examples of push patterns because the sender first begins the transfer by requesting the patient data, then the data is deposited electronically into the receiver’s electronic health record system. “Push HIE delivered laboratory and radiology results to the certified EHRs and ‘lite EHRs’ of physicians who ordered tests and/or were designated by ordering physicians to receive test results” (Campion et al., 2012). According to Campion et al. (2012), Lite EHRs permitted health care providers and employees with specific access to view test results, prescribe medications electronically, and obtain limited access to clinical records via a secure
Certain scenarios in the hospital require the use of one or the other pattern to achieve results. Firstly, if a patient is relocated to an inpatient bed due to a physician’s admission order, and the bed was made available when the patient needed it, then this demonstrates the pull method. Secondly, if a patient requires blood work to be done, and the order was placed, then the nurse or the phlebotomist drew the blood then this also demonstrates the pull method. In contrast, if nurses conduct a rainbow draw, i.e., blood drawn in different colored tubes in the emergency room on patients for “just in case purposes”, then this demonstrates the push method. This is due to the fact that some of these tubes will not be tested. “The push, the rainbow collection, is a workaround for slow lab turnaround times” (Graban, 2014). Furthermore, a lab who has a standing order for the exact amount of chemicals and reagents every month illustrates the push pattern. In contrast, if the lab orders a different amount due to the hospital’s usage, then this illustrates the pull pattern (Graban,