Improving Efficiency and Patient Satisfaction in a Peripherally Inserted Central Catheter Center Using Lean-Based Methodology.
Background: The peripherally inserted central catheter implantation and maintenance process was optimized at Shanghai Fu Dan University Cancer Center using lean-based methodology. Problems addressed were coping with capacity limitations and streamlining the process of patient care to reduce potentia...
| Publicado en: | Journal of the Association for Vascular Access Vol. 19; no. 4; pp. 244 - 256 |
|---|---|
| Autores principales: | , , |
| Formato: | questionnaire/scale research tables/charts Journal Article |
| Publicado: |
Association for Vascular Access
2014
|
| 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=103919643&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103919643 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15528855 1FV4 jtl: Journal of the Association for Vascular Access issn: 15528855 maglogo: N pubinfo: dt: 2014 vid: 19 iid: 4 pid: 26187 pub: Association for Vascular Access place: Herriman, Utah artinfo: ui: 103919643 99614817 10.1016/j.java.2014.07.004 103919643 ppf: 244 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Improving Efficiency and Patient Satisfaction in a Peripherally Inserted Central Catheter Center Using Lean-Based Methodology. aug: au: Ying Zhu Zhenqi Hongqin Dai affil: Bard China, Shanghai, China sug: subj: Productivity Patient Satisfaction Peripherally Inserted Central Catheters Program Implementation Work Redesign Catheterization, Peripheral Central Venous Patient Satisfaction Evaluation Root Cause Analysis Problem Identification Problem Solving Human Program Evaluation Questionnaires Seminars and Workshops Philosophy Morale Teamwork Interviews Descriptive Statistics Change Management Cancer Care Facilities China China Peripherally Inserted Central Catheters Education Catheter Care, Vascular Funding Source ab: Background: The peripherally inserted central catheter implantation and maintenance process was optimized at Shanghai Fu Dan University Cancer Center using lean-based methodology. Problems addressed were coping with capacity limitations and streamlining the process of patient care to reduce potential complications associated with delays in catheter administration. These clinical processes were evaluated with regard to pretreatment areasdsuch as booking, waiting, and patient educationdand solutions were recommended to the problems that were identified. Methods: Lean methodology was used under actual clinical settings to improve the clinical process, using observations, patient surveys, interviews, data analysis, and a kaizen workshop. Three tools were applied from lean methodology: value stream mapping, bottleneck calculation, and fishbone root cause analysis. The philosophy of kaizen was used to enhance teamwork, boost morale, and encourage all members of the frontline nursing team and administration leaders to contribute ideas and suggestions for improvement. Results: A value stream map and a redesigned future value stream map were plotted at the workshop to identify problems related to inefficiency and waste and to aid in proposing solutions. Implementation of these solutions resulted in smooth and steady patient distributions on days with the largest patient volume during a typical week and an increase of 30% in the number of patients that could be seen in a week. Conclusions: The economic methodology of lean manufacturing, especially value stream mapping, can be a powerful tool for visualizing and better understanding processes to reduce waste and reengineer a standardized workstream in settings where peripheral intravenous central catheters are placed. pubtype: Academic Journal doctype: questionnaire/scale research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|