scholarly journals Lean Six Sigma handoff process between operating room and pediatric ICU: improvement in patient safety, efficiency and effectiveness

Critical Care ◽  
2015 ◽  
Vol 19 (Suppl 1) ◽  
pp. P523 ◽  
Author(s):  
SJ Gleich ◽  
ME Nemergut ◽  
AA Stans ◽  
DT Haile ◽  
SA Feigal ◽  
...  
Keyword(s):  
Patient Safety ◽  
Operating Room ◽  
Six Sigma ◽  
Lean Six Sigma ◽  
Efficiency And Effectiveness ◽  
Pediatric Icu

scholarly journals Releasing Operating Room Nursing Time to Care through the Reduction of Surgical Case Preparation Time: A Lean Six Sigma Pilot Study

2021 ◽  
Vol 18 (22) ◽  
pp. 12098
Author(s):  
Patricia Egan ◽  
Anthony Pierce ◽  
Audrey Flynn ◽  
Sean Paul Teeling ◽  
Marie Ward ◽  
...  
Keyword(s):  
Operating Room ◽  
Six Sigma ◽  
Quality Care ◽  
Lean Six Sigma ◽  
Nursing Time ◽  
Surgical Case ◽  
Improvement Methodologies ◽  
Increasing Demand ◽  
Set Up ◽  
Room Nursing

Healthcare systems internationally are working under increasing demand to use finite resources with greater efficiency. The drive for efficiency utilises process improvement methodologies such as Lean Six Sigma. This study outlines a pilot Lean Six Sigma intervention designed to release nursing time to care within a peri-operative environment; this was achieved by collaborating with stakeholders to redesign the process for laparoscopic hernia surgical case preparation (set up) material. Across 128 laparoscopic hernia surgical cases, the pilot resulted in a 55% decrease in overall nursing time spent in gathering and preparing materials for laparoscopic hernia surgical cases, with a corresponding reduction in packaging waste. The major impact of releasing nursing time to care within busy Operating Room environments enabled nurses to focus on continuing to deliver high-quality care to their patients and reduce pressure expressed by the Operating Room nurses. The results have led to an ongoing review of other surgical procedures preparation to further release nursing time and will be of interest to perioperative teams internationally.

Development and experimental evaluation of an alarm concept for an integrated surgical workstation

2016 ◽  
Vol 61 (2) ◽  
Author(s):  
Eva-Maria Zeißig ◽  
Armin Janß ◽  
Jasmin Dell’Anna-Pudlik ◽  
Martina Ziefle ◽  
Klaus Radermacher
Keyword(s):  
Patient Safety ◽  
Operating Room ◽  
Primary Task ◽  
Technical Equipment ◽  
Open Communication ◽  
Memory Efficiency ◽  
Efficiency And Effectiveness ◽  
Perceived Workload ◽  
Integrated Operating Room ◽  
Speed Accuracy

AbstractAlarm conditions of the technical equipment in operating rooms represent a prevalent cause for interruptions of surgeons and scrub nurses, resulting in an increase of workload and potential reduction of patient safety. In this work, an alarm concept for an integrated operating room system based on open communication standards is developed and tested.In a laboratory experiment, the reactions of surgeons were analysed, comparing the displaying of alarms on an integrated workstation and on single devices: disruptive effects of alarm handling on primary task (ratings of perceived distraction, resumption lag, deterioration of speed, accuracy, and prospective memory), efficiency and effectiveness of identification of alarms, as well as perceived workload were included.The identification of the alarm cause is significantly more efficient and effective with the integrated alarm concept. Moreover, a slightly lower deterioration of performance of the primary task due to the interruption of alarm handling was observed.Displaying alarms on an integrated workstation supports alarm handling and consequently reduces disruptive effects on the primary task. The findings show that even small changes can reduce workload in a complex work environment like the operating room, resulting in improved patient safety.

First-case tardiness reduction in a tertiary academic medical center operating room: A lean six sigma perspective

2016 ◽  
Vol 5 ◽  
pp. 7-12 ◽  
Author(s):  
Pedro Ramos ◽  
Eloisa Bonfá ◽  
Patrícia Goulart ◽  
Marion Medeiros ◽  
Nélson Cruz ◽  
...  
Keyword(s):  
Operating Room ◽  
Six Sigma ◽  
Medical Center ◽  
Academic Medical Center ◽  
Lean Six Sigma ◽  
First Case ◽  
Academic Medical

Where to direct research in lean six sigma?

2018 ◽  
Vol 9 (3) ◽  
pp. 324-350 ◽  
Author(s):  
Fabio Francisco da Silva ◽  
Lukas Daniel Filser ◽  
Fernando Juliani ◽  
Otávio José de Oliveira
Keyword(s):  
Six Sigma ◽  
State Of The Art ◽  
Lean Six Sigma ◽  
Research Trends ◽  
Content Type ◽  
Main Research ◽  
Efficiency And Effectiveness ◽  
Subject Areas ◽  
Number Of Citations ◽  
Practical Implications

Purpose Lean Six Sigma (LSS) is a continuous improvement methodology used to increase the efficiency and effectiveness of processes. Although there are several articles published, only two have analyzed the literature from a bibliometrics perspective. The purpose of this paper is to analyze the LSS literature by bibliometrics, identifying its state of the art, scientific gaps and research trends. Design/methodology/approach Articles published up to 2016 in the database Scopus were investigated to identify the most significant articles, authors, journals, institutions and countries based on citation counting as well as the most frequent keywords and subject areas on LSS. Articles published in 2014, 2015 and 2016 were analyzed to point out scientific gaps and to identify eight main research trends on LSS. Findings The research trends are: “LSS implementation”, “Healthcare”, “LSS tools”, “Human factors”, “Expansion of results”, “SME”, “LSS combined with other methodologies” and “Education”. The research outcomes also point out the most significant articles, authors, journals, institutions and countries in LSS literature. Practical implications This research contributes to develop the state of the art of LSS and helps professionals as well as researchers to identify which issues new studies should address. Originality/value The performance of the literature is measured based on the number of citations and not on the number of published papers, and the bibliometric analysis covers the highest number of articles so far (319 articles). Besides, the identification of the main research trends on LSS is exclusively based on the most recent studies.

scholarly journals Efficiency Improvement and Quality Initiatives Application in Financial Institutions

2015 ◽  
Vol 5 (1) ◽  
pp. 133
Author(s):  
MSc. Ajtene Avdullahi ◽  
MSc. Vjosa Fejza
Keyword(s):  
Quality Management ◽  
Financial Institutions ◽  
Six Sigma ◽  
Financial Services ◽  
Management Practices ◽  
Lean Six Sigma ◽  
Total Quality ◽  
Quality Initiatives ◽  
Efficiency And Effectiveness ◽  
Customer Segment

Financial institutions in today’s economy have no longer the luxury to improve profit simply by increasing revenue. These firms, due to the significant measuring reductions in the financial services industry needed to improve operational efficiencies and merely support existing processes with fewer resources. This paper explains the benefits of Lean, Six Sigma, Total Quality Management and Lean Six Sigma that have improved organization's performance, by cutting costs and waste, improving their products or services, increasing profitability as well as enhancing customer satisfaction. The applicability of quality management practices in financial institutions in Kosovo is presented and also their efficiency and effectiveness. By analyzing data from Raiffeisen Bank Kosovo, this paper highlights the benefits of Individual and Micro companies customer segment as the result of organizational change and successful application of quality initiatives from financial institutions in Kosovo.

Using Lean Six Sigma to Decrease Delivery Time of Blood Products to the Operating Room

2021 ◽  
Vol 15 (5) ◽  
pp. e01463
Author(s):  
Samantha H. Garvanovic ◽  
Jason W. Gatling ◽  
Annie T. Wang ◽  
Christine M. Wong ◽  
Wesley T. Stevens ◽  
...  
Keyword(s):  
Operating Room ◽  
Six Sigma ◽  
Lean Six Sigma ◽  
Delivery Time ◽  
Blood Products

Improving operating room efficiency in academic children's hospital using Lean Six Sigma methodology

2017 ◽  
Vol 52 (6) ◽  
pp. 1040-1044 ◽  
Author(s):  
Edward P. Tagge ◽  
Arul S. Thirumoorthi ◽  
John Lenart ◽  
Carlos Garberoglio ◽  
Kenneth W. Mitchell
Keyword(s):  
Operating Room ◽  
Six Sigma ◽  
Lean Six Sigma ◽  
Operating Room Efficiency ◽  
Children's Hospital ◽  
Children’S Hospital ◽  
Six Sigma Methodology

Lean Six Sigma journey in a UK higher education institute: a case study

2018 ◽  
Vol 35 (2) ◽  
pp. 510-526 ◽  
Author(s):  
Jiju Antony ◽  
Abhijeet Ghadge ◽  
Stephanie A. Ashby ◽  
Elizabeth A. Cudney
Keyword(s):  
Higher Education ◽  
Six Sigma ◽  
Management Practices ◽  
Lean Six Sigma ◽  
Extensive Literature ◽  
Content Type ◽  
Efficiency And Effectiveness ◽  
Uk Higher Education ◽  
The Impact

Purpose The purpose of this paper is to explore the fundamental challenges and critical success factors in the development of a Lean Six Sigma (LSS) initiative within a UK higher education institute (HEI). The paper also illustrates examples of the types of projects completed and share some of the key lessons learned as part of the LSS journey. Design/methodology/approach The authors have initially carried out an extensive literature review on the application of LSS in higher education to understand the existing body of work carried out by other scholars in the field. This is followed by presenting a case study explaining how a HEI in the UK has embarked on its LSS journey as a process excellence methodology to improve the efficiency and effectiveness of core and supporting business processes. Findings There has been a clear lack of support and commitment from senior management in the sustainability of LSS within the case study organization. There was a general lack of understanding of the benefits of LSS in the higher education context and there is a lack of knowledge on the use of LSS tools for tackling process efficiency and effectiveness problems across the case study organization. Although a number of LSS projects were executed across finance, administrative, and human resources, as well as IT and library services, no projects were carried out for improving academic processes such as teaching effectiveness. Research limitations/implications As the case study is limited to one higher education institution (HEI), the findings of the study cannot be broadly generalized. Moreover, the paper does not report the findings of any strategic projects as most projects were carried out at the operational level. Originality/value This is possibly one of the first studies reporting project examples of LSS in a HEI. The results of the study can also be used to benchmark with similar studies in other HEIs to understand the impact of certain management practices of LSS.

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