Integrating Lean Six Sigma in the daily operations of an ICU to achieve safe, quality patient care.

2016 ◽  
Vol 34 (7_suppl) ◽  
pp. 230-230
Author(s):  
Ann Marquis ◽  
Jacqueline Magurn ◽  
Joanne McGovern ◽  
Michelle Jetter ◽  
Sarah Beadling ◽  
...  
Keyword(s):  
Patient Care ◽  
Six Sigma ◽  
Journal Club ◽  
Lean Six Sigma ◽  
Thromboembolism Prophylaxis ◽  
Daily Production ◽  
Quality Patient Care ◽  
Journal Clubs ◽  
Time Problem ◽  
Team Alignment

230 Background: Developing and maintaining a culture of safety and quality in delivering patient care is critical in the intensive care unit (ICU) especially an oncology ICU. Incorporating the Lean Six Sigma program into daily operations of the ICU achieves, simplifies, and sustains continuous improvement in the delivery of safe quality patient care. This program engages the ICU team through visual management of quality, safety, and budget indicators including medication scanning, falls, sharps exposure, infection prevention including blood stream, catheter, hospital and ventilator acquired pneumonias, venous embolism prevention, and staffing compliance. Methods: The initiative focused on stakeholder development to increase professional certifications, improve engagement through development and implementation of educational events, and enhance participation in monthly journal club. Discussion of evidence-based research projects aligned each shift with data, metrics, and outcomes. Cost containment through charge capture, reduction in wasted supplies, and appropriate level of care order was implemented. With the support of Lean Six Sigma, the lean daily management board came to life each shift. Results: Outcomes included medication scanning rates increasing from 94% to 99.5%. Hospital acquired infection and pressure ulcer rates remained 0%. Venous thromboembolism prophylaxis rates increased form 77% to 100%. Staffing compliance increased from 90% to 100%. The number of chemotherapy certified nurses increased from 56% to 71%. The number of nurses with specialty certification improved from 28% to 47%. Stakeholders engaged in 32 professional educational events, and 12 journal clubs were led by the ICU nurses. Product charge capture began at $0 ending in an average of $1342 per month from 0% charge capture to 100% charge capture each month. Conclusions: Team alignment around daily production, patient flow, and staff development enables real-time problem solving around the daily issues of safety, quality, productivity, and stakeholder development. In this oncology critical care unit it has not only enhanced daily communication but every twelve hour shift engagement as well.

scholarly journals Lean Six-Sigma: the means to healing an ailing NHS?

2018 ◽  
Vol 35 (9) ◽  
pp. 1976-1988 ◽  
Author(s):  
John Bancroft ◽  
Krish Saha ◽  
Di Li ◽  
Gabor Lukacs ◽  
Xavier Pierron
Keyword(s):  
Patient Care ◽  
Six Sigma ◽  
Positive Impact ◽  
Lean Six Sigma ◽  
Content Type ◽  
Staffing Levels ◽  
Accident And Emergency ◽  
Timely Fashion ◽  
Performance Challenges

Purpose The purpose of this paper is to examine England’s Accident and Emergency (A&E) arm of the National Health Service (NHS). It considers the positive impact that Lean has had and Six-Sigma can have in A&E departments to improve the quality and reliability of the service offered, in an area that is facing performance challenges. Design/methodology/approach Independent variables average monthly temperature data (degrees Celsius) obtained from the Met Office and weekly A&E data, patient volume is analysed alongside the dependent variable, the percentage of patients seen in 4 h or less. Findings The model produced a robust positive impact when Lean Six-Sigma is adopted, increasing the likelihood of A&E dependents meeting their performance objective to see and treat patients in 4 h or less. Research limitations/implications Further variables such as staffing levels, A&E admission type should be considered in future studies. Additionally, it would add further clarity to analyse hospitals and trusts individually, to gauge which are struggling. Practical implications Should the NHS further its understanding and adoption of Lean Six-Sigma, it is believed this could have significant improvements in productivity, patient care and cost reduction. Social implications Productivity improvements will allow the NHS to do more with an equal amount of funding, therefore improving capacity and patient care. Originality/value Through observing A&E and its ability to treat patients in a timely fashion it is clear the NHS is struggling to meet its performance objectives, the recommendation of Six-Sigma in A&E should improve the reliability and quality of care offered to patients.

scholarly journals Students’ perception of implementing journal clubs in an undergraduate medical curriculum

2021 ◽  
Vol 10 (1) ◽  
pp. 5-5
Author(s):  
Rajani Ranganth ◽  
Smitha Elizabeth ◽  
Dhaval Mahadevwala
Keyword(s):  
Medical Students ◽  
Patient Care ◽  
Medical Curriculum ◽  
Journal Club ◽  
Learning Activity ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Undergraduate Medical Curriculum ◽  
Journal Clubs ◽  
Study Results

Background: Journal club is an essential teaching-learning activity that provides a forum for developing skills in critical appraisal. It helps in keeping abreast of new knowledge, facilitating the application of new research in improving patient care, and aiding medical students to be competent clinicians. The current study aimed to elucidate whether students are aware of the concept of a journal club and their willingness to implement a journal club in their undergraduate medical curriculum. Methods: A cross-sectional study was conducted among the undergraduate medical students at the College of Medicine and Health Sciences, The National University of Science and Technology, in February 2019. A structured questionnaire of 8 items was administered that assessed the knowledge, attitude, and perceptions towards implementation of a journal club (JC) in an undergraduate curriculum among medical students. A total of 161 undergraduate medical students participated in the study. Results: Of the 161 students, 112 (69.4%) were in their preclinical years, and 49 (30.6%) were in their clinical years. In all, 145 students were female and 16 were male. Majority of students in their preclinical years (70.5%) were not aware of the journal club. Among the five reasons given for journal clubs to be included in the curriculum, the largest number of students (30.8%) wanted a journal club because it would help them to gain confidence to present cases in clinics and exams. The most common reason students did not want a journal club was that it requires a great deal of time to prepare (64.3%). Conclusion: The introduction of a journal club would enhance the proficiency of undergraduate students to be lifelong learners. It is a robust educational tool to equip them with knowledge of research practices that would aid in better patient care.

Using Safety Barrier Analysis to Facilitate Quality Improvement in Health Care: Improving Venous Thromboembolism Prophylaxis as a Proof of Concept

2019 ◽  
Vol 35 (2) ◽  
pp. 147-154 ◽  
Author(s):  
Carlton Moore ◽  
G. Cameron Coleman ◽  
Jamison Chang ◽  
Max Nagle ◽  
May-Britt Sten
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Venous Thromboembolism ◽  
Six Sigma ◽  
Lean Six Sigma ◽  
Hospitalized Patients ◽  
Thromboembolism Prophylaxis ◽  
Venous Thromboembolism Prophylaxis ◽  
Safety Barrier ◽  
Barrier Analysis

Effective quality improvement is a key factor in optimizing the care of hospitalized patients. Unfortunately, the US health care system has a poor safety record when compared to other major industries. For example, at 250 000 per year, medical errors are the third leading cause of death in the United States. Safety barrier management, a widely used methodology in high-risk industries such as commercial airline transportation and oil drilling, has not been widely used in traditional quality improvement efforts in health care, which rely more on standard lean Six Sigma quality approaches. The authors describe a quality improvement project that uses safety barrier analysis to help inform solutions to improve venous thromboembolism prophylaxis in hospitalized patients. This study found that safety barrier analysis helped inform solutions to improve venous thromboembolism prophylaxis at the study institution and can be a useful adjunct to standard lean Six Sigma methodologies for quality improvement in health care.

scholarly journals Implementation of Lean Six Sigma for production process optimization in a paper production company

2021 ◽  
Vol 14 (3) ◽  
pp. 661
Author(s):  
Adefemi Adeodu ◽  
Mukondeleli Grace Kanakana-Katumba ◽  
Maladzhi Rendani
Keyword(s):  
Production Process ◽  
Real Time ◽  
Six Sigma ◽  
Production Line ◽  
Lean Six Sigma ◽  
Production Performance ◽  
Paper Production ◽  
Time Problem ◽  
Production Company ◽  
Cycle Efficiency

Purpose: This study aimed at implementing lean six sigma to evaluate the productivity and manufacturing waste in the production line of a paper companyMethodology/Approach: The study is a case study in nature. The method illustrates how lean six sigma (LSS) is used to evaluate the existing production process in a paper production company with focus on productivity and manufacturing waste. The study considered a real-time problem of customer’s dissatisfaction. The gathered data is based on machine functionality (up time, down time and cycle time); materials and labour flow at every process stages of the production line. The optimization of the production process was based on lean tools like value stream mapping, process cycle efficiency, Kaizen, 5S and pareto chartFindings: Based on lean six sigma application, it was discovered that the present production performance was below standard and more manufacturing wastes were generated. The present productivity and manufacturing wastes are reported as low process cycle efficiency (23.4 %), low takt time (4.11 sec), high lead time (43200sec), high number of products not conforming to six sigma values, high down time (32.64 %) and excess labour flow (33). After the implementation of the lean six sigma tools for certain period of time, there are lots of improvements in the production line in terms of all the parameters considered.Research Limitation/ Implications:  The study has demonstrated an application of lean six sigma in the case of solving real-time problems of productivity and manufacturing wastes which have a direct implication on customer’s satisfaction. The lesson learned and implications presented can still be further modeled using some lean based software for validityOriginality/Value: The study has contributed to the body of knowledge in the field of LSS with focus to process based manufacturing, unlike most literature in the field concentrate more on discrete based manufacturing.   

Improving patient care at a multi-speciality hospital using lean six sigma

2020 ◽  
pp. 1-19
Author(s):  
D. Jinil Persis ◽  
Anjali S. ◽  
Vijaya Sunder M ◽  
Rejikumar G ◽  
V. Raja Sreedharan ◽  
...  
Keyword(s):  
Patient Care ◽  
Six Sigma ◽  
Lean Six Sigma ◽  
Improving Patient Care

scholarly journals Running a journal club in 2020: reflections and challenges

2020 ◽  
pp. 1-4
Author(s):  
Isabel Mark ◽  
Motaz Sonbol ◽  
Cyrus Abbasian
Keyword(s):  
Patient Care ◽  
Online Teaching ◽  
Journal Club ◽  
Online Environment ◽  
The Past ◽  
New Approaches ◽  
Journal Clubs ◽  
Challenges And Opportunities ◽  
Online Environments

Summary The online environment brings both challenges and opportunities. The skills learned in journal clubs remain highly relevant where the ability to critique rapidly generated information and apply evidence to patient care is vital. Creativity and flexibility are needed to ensure that learners’ needs are met and efforts are made to involve those who may not be naturally drawn to online environments. This article explores how journal clubs have been approached in the past, both in person and more recently online, considers techniques for maintaining engagement in online teaching and proposes new approaches for future journal clubs.

Journal Club Initiieren-Durchführen-Effekte

PADUA ◽  
2015 ◽  
Vol 10 (3) ◽  
pp. 167-169
Author(s):  
Birgit Rathwallner ◽  
Gerhild Schüttengruber ◽  
Julia Göhler
Keyword(s):  
Journal Club ◽  
Journal Clubs

Der folgende Beitrag stellt den Journal Club in den Mittelpunkt, eine bisher kaum etablierte Austauschform zur Diskussion von wissenschaftlichen Artikeln. Nachgegangen wird der Frage, wie Journal Clubs in der pflegerischen Praxis initiiert und durchgeführt werden können. Zudem erfolgt eine Ableitung von vorteiligen Effekten, welche sich aus der aktuellen Studienlage abzeichnen. Des Weiteren wird ein Impuls für die Lehrerbildung gegeben.

Sign in / Sign up

Export Citation Format

Share Document