Use of lean principals to improve flow of patients with fractured neck of femur--the HOPE study

Autor:	Mcnamara, R., Butler, A., Baker, C., Jennifer Mullen, Lenehan, B., Grimes, S., O Donoghue, H., Evans, P., Liston, M., Cummins, F., Condon, F.
Předmět:	Hospitalization Patient Care Team Critical Pathways Humans Length of Stay Ireland Quality Improvement Femoral Neck Fractures Retrospective Studies Time-to-Treatment
Zdroj:	Europe PubMed Central Scopus-Elsevier
Popis:	We describe the implementation of a care pathway for patients with fractured neck of femur (NOF) using Lean and Six Sigma principles. After introduction of the Lean pathway, 32 patients out a total of 86 (37%) with fractured NOF were admitted to the Trauma Ward within 4 hours of presentation to the hospital; prior to implementation this was 16 patients out of a total of 59 (27%). Post-Lean an earlier mean theatre start time of 8.40am was achieved, resulting in a 38 minute increase in daily theatre time. An additional 52 patients (12%) received surgery within 24 hours of admission, resulting in 1 night length of stay reduction. Lean methodology proved an effective method to guide change resulting in an improved journey for the patient and significant workflow gains.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=pmid_dedup__::5038824ba7fa823ce156d93a7129be31 http://europepmc.org/abstract/med/24757887 Zobrazit plný text záznamu