scholarly journals Can Operating Room Efficiency be Increased by Applying the Lean Six Sigma Models?

2021 ◽  
Vol 05 (04) ◽  
Author(s):  
Lorenzo Michelin ◽  
Beatrice Ricci ◽  
Venerando Barbagallo ◽  
Peter Perger ◽  
Emanuele Padovani ◽  
...  
2017 ◽  
Vol 52 (6) ◽  
pp. 1040-1044 ◽  
Author(s):  
Edward P. Tagge ◽  
Arul S. Thirumoorthi ◽  
John Lenart ◽  
Carlos Garberoglio ◽  
Kenneth W. Mitchell

Author(s):  
Patricia Egan ◽  
Anthony Pierce ◽  
Audrey Flynn ◽  
Sean Paul Teeling ◽  
Marie Ward ◽  
...  

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.


2016 ◽  
Vol 5 ◽  
pp. 7-12 ◽  
Author(s):  
Pedro Ramos ◽  
Eloisa Bonfá ◽  
Patrícia Goulart ◽  
Marion Medeiros ◽  
Nélson Cruz ◽  
...  

2021 ◽  
Vol 15 (5) ◽  
pp. e01463
Author(s):  
Samantha H. Garvanovic ◽  
Jason W. Gatling ◽  
Annie T. Wang ◽  
Christine M. Wong ◽  
Wesley T. Stevens ◽  
...  

Author(s):  
Lisa O’Mahony ◽  
Kerrie McCarthy ◽  
Josephine O’Donoghue ◽  
Seán Paul Teeling ◽  
Marie Ward ◽  
...  

Continuity of the supply chain is an integral element in the safe and timely delivery of health services. Lean Six Sigma (LSS), a continuous improvement approach, aims to drive efficiencies and standardisation in processes, and while well established in the manufacturing and supply chain industries, also has relevance in healthcare supply chain management. This study outlines the application of LSS tools and techniques within the supply chain of an Operating Room (OR) setting in a private hospital in Dublin, Ireland. A pre-/post-intervention design was employed following the Define, Measure, Analyse, Improve, Control (DMAIC) framework and applying LSS methodology to redesign the current process for stock management both within the OR storage area and within a pilot OR suite, through collaborative, inclusive, and participatory engagement with staff. A set of improvements were implemented to standardise and streamline the stock management in both areas. The main outcomes from the improvements implemented were an overall reduction in the value of stock held within the operating theatre by 17.7%, a reduction in the value of stock going out of date by 91.7%, and a reduction in the time spent by clinical staff preparing stock required for procedures by 45%, all demonstrating the effectiveness of LSS in healthcare supply chain management.


Author(s):  
Yucel Ozturkoglu ◽  
Yigit Kazancoglu ◽  
Muhittin Sagnak ◽  
Jose Arturo Garza-Reyes

Since every mistake made in the healthcare industry can cause permanent harm or even death, some fundamental requirements should be considered when planning and designing operating rooms. Lighting is one of the most important ergonomic factors, especially for operating rooms. This paper investigates the integration of the lean approach and six sigma in measuring the efficiency of LED technology, which can also be regarded as a factor affecting the operating room efficiency. Measurement System Analysis (MSA) and Gage Control methods were applied to determine measurement variability in operating room illumination measurement process. Repeatability and reproducibility (%R&R) was found 12.89%. After calibration, %R&R value was found 8.21%, which implies that calibration helped reduce variability.


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