Evidence map›Paper›PMID 35270447›Full record

ArticleInternational journal of environmental research and public health2022

Using a Combined Lean and Person-Centred Approach to Support the Resumption of Routine Hospital Activity following the First Wave of COVID-19.

Ailish Daly, Sean Paul Teeling, Suzanne Garvey, Marie Ward, Martin McNamara

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
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  5. A Case Study of a Whole System Approach to Improvement in an Acute Hospital Setting.International journal of environmental research and public health · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ailish DalyBeacon Hospital, Beacon Court, Bracken Road, Sandyford Business Park, Sandyford, Dublin 18, D18 AK68 Dublin, Ireland.
Sean Paul TeelingUCD Centre for Interdisciplinary Research, Education & Innovation in Health Systems, Midwifery & Health Systems, UCD Health Sciences Centre, School of Nursing, D04 V1W8 Dublin, Ireland.ORCID 0000-0002-4102-7280
Suzanne GarveyBeacon Hospital, Beacon Court, Bracken Road, Sandyford Business Park, Sandyford, Dublin 18, D18 AK68 Dublin, Ireland.
Marie WardCentre for Innovative Human Systems, School of Psychology, Trinity College, The University of Dublin, D02 PN40 Dublin, Ireland.ORCID 0000-0002-6638-8461
Martin McNamaraUCD Centre for Interdisciplinary Research, Education & Innovation in Health Systems, Midwifery & Health Systems, UCD Health Sciences Centre, School of Nursing, D04 V1W8 Dublin, Ireland.ORCID 0000-0001-7257-9654

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The unexpected advent of the COVID-19 pandemic led to a sudden disruption of routine medical care, with a subsequent reorganization of hospital structures and of care. Case studies are becoming available in the literature referring to the logistical difficulties involved in a hospital resuming normal activity following the first COVID-19 lockdown period. This paper details the experience of a study site, a private hospital in Dublin, Ireland, in the redesign of service delivery in compliance with new COVID-19 prevention regulations to facilitate the resumption of routine hospital activity following the first wave of COVID-19. The aim was to resume routine activity and optimize patient activity, whilst remaining compliant with COVID-19 guidelines. We employed a pre-/post-intervention design using Lean methodology and utilised a rapid improvement event (RIE) approach underpinned by person-centred principles. This was a system-wide improvement including all hospital staff, facilitated by a specific project team including the chief operation officer, allied therapy manager (encompassing health and social care professionals), infection prevention and control team, head of surgical services, clinical nurse managers, patient services manager and the head of procurement. Following our intervention, hospital services resumed successfully, with the initial service resumption meeting the organizational target of a 75% bed occupancy rate, while the number of resumed surgeries exceeded the target by 13%. Our outpatient visits recovered to exceed the attendance numbers pre-COVID-19 in 2019 by 10%. In addition, patient satisfaction improved from 93% to 95%, and importantly, we had no in-hospital patient COVID-19 transmission in the study period of July to December 2020.

Indexed as

COVID-19Communicable Disease ControlHospitals, PrivateHumansPandemicsSARS-CoV-2acute hospitalCOVID-19Leanperson-centredrapid improvement event

Identifiers

PMID35270447
PMCPMC8910100

What OpenQuestion holds

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Registered trials

None linked

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.