Applying lean principles to continuous renal replacement therapy processes.
Purpose. The application of lean principles to continuous renal replacement therapy (CRRT) processes in an academic medical center is described. Summary. A manual audit over six consecutive weeks revealed that 133 5-L bags of CRRT solution were discarded after being dispensed from pharmacy but befor...
| Publicado en: | American Journal of Health-System Pharmacy Vol. 72; no. 3; pp. 218 - 224 |
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| Autores principales: | , , , , , , , |
| Formato: | case study tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
2/1/2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103749733&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103749733 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10792082 1X3 jtl: American Journal of Health-System Pharmacy issn: 10792082 maglogo: N pubinfo: dt: 2/1/2015 vid: 72 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 103749733 100800903 10.2146/ajhp140257 NLM25596606 103749733 ppf: 218 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Applying lean principles to continuous renal replacement therapy processes. aug: au: Benfield, C. Brett Brummond, Philip Lucarotti, Andrew Villarreal, Maria Goodwin, Adam Wonnacott, Rob Talley, Cheryl Heung, Michael affil: Ambulatory Administrative Resident, Fairview Pharmacy Services, Minneapolis, MN sug: subj: Quality Improvement Methods Continuous Renal Replacement Therapy Pharmacy Service Administration Interprofessional Relations Dialysis Solutions Economics Academic Medical Centers Pharmacy Technicians Nurses Quality of Health Care Michigan Staff Development Attitude of Health Personnel Communication Organizational Efficiency ab: Purpose. The application of lean principles to continuous renal replacement therapy (CRRT) processes in an academic medical center is described. Summary. A manual audit over six consecutive weeks revealed that 133 5-L bags of CRRT solution were discarded after being dispensed from pharmacy but before clinical use. Lean principles were used to examine the workflow for CRRT preparation and develop and implement an intervention. An educational program was developed to encourage and enhance direct communication between nursing and pharmacy about changes in a patient’s condition or CRRT order. It was through this education program that the reordering workflow shifted from nurses to pharmacy technicians. The primary outcome was the number of CRRT solution bags delivered in the preintervention and postintervention periods. Nurses and pharmacy technicians were surveyed to determine their satisfaction with the workflow change. After implementation of lean principles, the mean number of CRRT solution bags dispensed per day of CRRT decreased substantially. Respondents’ overall satisfaction with the CRRT solution preparation process increased during the postintervention period, and the satisfaction scores for each individual component of the workflow after implementation of lean principles. The decreased solution waste resulted in projected annual cost savings exceeding $70,000 in product alone. Conclusion. The use of lean principles to identify medication waste in the CRRT workflow and implementation of an intervention to shift the workload from intensive care unit nurses to pharmacy technicians led to reduced CRRT solution waste, improved efficiency of CRRT workflow, and increased satisfaction among staff. pubtype: Academic Journal doctype: case study tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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