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hello my name is echo rocky I am currently enrolled as an MSN Siena student Interuniversity Vallejo California I will be presenting my PowerPoint slides related to my quality improvement project focusing on the streamlined discharge process using the clinical micro system tool in an identification of a medical surgical cardiac unit helped me to get my project started age 60 to 64 is a med-surg cardiac unit operating with an early patient census of 32 patients I review of the unit transportation to patients people process and patterns reveal chaos around the discharge process workflow delays in discharging patients can impact hospital flow which is one of the vital component how we deliver care to all patients in a thorough mapping of the discharge admission and adverse event processes it became evident that there is no standardization in using appropriate tool to facilitate improvement in the charge timing and decreased length of stay variations between different clinicians and workfl