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. |
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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 |
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