A Toolkit for Redesign in Health Care: Final Report
Form G. Patient Process Flow Observation Form
Note: Complete each field as necessary based on the experience of the patient.
Observer Name: ___________________________ Department/Area:
___________________________ Page: ___ of ___
Date: ____/____/____
Patient No.: (1) (2) (3) (4) (5)
Time/Shift: ______________
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Interacted With |
Time Start |
Time End |
Distance Traveled |
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