ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2019
Using Lean Six Sigma to improve rates of day of surgery admission in a national thoracic surgery department.
Article in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 42 citations in OpenAlex.
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- Can Quality Improvement Methodologies Derived from Manufacturing Industry Improve Care in Cardiac Surgery? A Systematic Review.Journal of clinical medicine · 2022Review
- Impact of a same day admission project in reducing the preoperative bed occupancy demand in a pediatric inpatient hospital.Annals of medicine and surgery (2012) · 2022Article
- The Use of Lean Six Sigma Methodology in the Reduction of Patient Length of Stay Following Anterior Cruciate Ligament Reconstruction Surgery.International journal of environmental research and public health · 2022Article
- A Case Study of a Whole System Approach to Improvement in an Acute Hospital Setting.International journal of environmental research and public health · 2022Article
- Releasing Operating Room Nursing Time to Care through the Reduction of Surgical Case Preparation Time: A Lean Six Sigma Pilot Study.International journal of environmental research and public health · 2021Article
- Lean Six Sigma Redesign of a Process for Healthcare Mandatory Education in Basic Life Support-A Pilot Study.International journal of environmental research and public health · 2021Article
- A Realist Inquiry to Identify the Contribution of Lean Six Sigma to Person-Centred Care and Cultures.International journal of environmental research and public health · 2021Article
- Reporting standards, outcomes and costs of quality improvement studies in Ireland: a scoping review.BMJ open quality · 2021Article
- Application of Deep Neural Network Factor Analysis Model in Operating Room Management Nursing Analysis of Postoperative Infection Nursing after Thoracic Surgery.Computational and mathematical methods in medicine · 2021Article
- Analysis Model of the Impact of Refined Intervention in Operating Room on Patients' Recovery Quality and Complications after Thoracic Surgery Based on Deep Neural Network.Journal of healthcare engineering · 2021Article
- Application of Rapid Rehabilitation Nursing in Thoracic Surgery Nursing.Journal of healthcare engineering · 2021Article
- Standardization of Procedures to Contain Cost and Reduce Variability of Care After the Pandemic.Frontiers in surgery · 2021Review
- Development and evaluation of a quality improvement framework for healthcare.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2020Article
- Healthcare Engineering: A Lean Management Approach.Journal of healthcare engineering · 2020Article
Corrections and comments
- Erratum issued
Authors and funding
9 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe aim of this study is to improve rates of day of surgery admission (DOSA) for all suitable elective thoracic surgery patients.
designLean Six Sigma (LSS) methods were used to enable improvements to both the operational process and the organizational working of the department over a period of 19 months.
settingA national thoracic surgery department in a large teaching hospital in Ireland.
participantsThoracic surgery staff, patients and quality improvement staff at the hospital. INTERVENTION(S): LSS methods were employed to identify and remove the non-value-add in the patient's journey and achieve higher levels of DOSA. A pre-surgery checklist and Thoracic Planning Meeting were introduced to support a multidisciplinary approach to enhanced recovery after surgery (ERAS), reduce rework, improve list efficiency and optimize bed management. MAIN OUTCOME MEASURE(S): To achieve DOSA for all suitable elective thoracic surgery patients in line with the National Key Performance Indicator of 75%. A secondary outcome would be to further decrease overall length of stay by 1 day.
resultsOver a 19 month period, DOSA has increased from 10 to 75%. Duplication of preoperative tests reduced from 83 to <2%. Staff and patient surveys show increased satisfaction and improved understanding of ERAS.
conclusionsUsing LSS methods to improve both operational process efficiency and organizational clinical processes led to the successful achievement of increasing rates of DOSA in line with national targets.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.