دورية أكاديمية
Use of Lean Six Sigma methodology shows reduction of inpatient waiting time for peripherally inserted central catheter placement.
| العنوان: | Use of Lean Six Sigma methodology shows reduction of inpatient waiting time for peripherally inserted central catheter placement. |
|---|---|
| المؤلفون: | Hynes JP; Department of Radiology, Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland. Electronic address: JohnHynes@mater.ie., Murray AS; Department of Radiology, Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland., Murray OM; Department of Radiology, Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland., Eustace SK; Department of Radiology, Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland., Gilchrist S; Department of Radiology, Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland., Dolan A; Department of Radiology, Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland., Lawler LP; Department of Radiology, Mater Misericordiae University Hospital, Eccles St, Dublin 7, Ireland. |
| المصدر: | Clinical radiology [Clin Radiol] 2019 Sep; Vol. 74 (9), pp. 733.e5-733.e9. Date of Electronic Publication: 2019 May 23. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Blackwell Scientific Publications Ltd Country of Publication: England NLM ID: 1306016 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1365-229X (Electronic) Linking ISSN: 00099260 NLM ISO Abbreviation: Clin Radiol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Oxford : Blackwell Scientific Publications Ltd Original Publication: Edinburgh, Livingstone. |
| مواضيع طبية MeSH: | Catheterization, Central Venous* , Catheterization, Peripheral* , Inpatients* , Radiography, Interventional* , Total Quality Management* , Waiting Lists*, Female ; Humans ; Male ; Middle Aged ; Prospective Studies ; Workflow |
| مستخلص: | Aim: The aim of this study was to assess the use of Lean Six Sigma methodology to improve the turnaround time (TAT) for inpatient peripherally inserted central catheter (PICC) placement. Materials and Methods: Value stream mapping was used to analyse the workflow process for inpatient PICC placement and to divide it into its component parts. Unnecessary steps were eliminated and variation minimised in the remaining processes. The TAT for PICC line placement was recorded for the 6 months prior to implementation of changes, and subsequently, at the 6-month and 2-year follow-up points. Results: Prior to implementing the changes, the mean TAT for PICC line placement was 3.74±3.28 days (95% confidence interval [CI]=3.3-4.17). Six months after implementation, the mean TAT was 1.89±1.82 days (95% CI=1.72-2.06, p<0.0001). The reduction was sustained such that at 2 years post-implementation the mean TAT was 1.88±1.87 days (95% CI=1.78-1.99, p<0.0001). This was achieved despite a 13.8% increase in overall interventional radiological activity. Conclusion: By applying Lean Six Sigma methodology to the complex multifactorial processes involved from ordering a PICC to its final insertion, it was possible to identify areas for improvement and to introduce simple, effective measures that resulted in a significant sustained decrease in the TAT without additional resources. (Copyright © 2019 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.) |
| تواريخ الأحداث: | Date Created: 20190527 Date Completed: 20200608 Latest Revision: 20200608 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.crad.2019.04.022 |
| PMID: | 31128853 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1365-229X |
|---|---|
| DOI: | 10.1016/j.crad.2019.04.022 |