Using Six Sigma Methodology to Reduce Patient Transfer Times from Floor to Critical-Care Beds.

Introduction: In response to concerns regarding delays in transferring critically ill patients to intensive care units (ICU), a quality improvement project, using the Six Sigma process, was undertaken to correct issues leading to transfer delay. Objective: To test the efficacy of a Six Sigma interve...

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Publicado en:Journal for Healthcare Quality: Promoting Excellence in Healthcare Vol. 34; no. 1; pp. 44 - 55
Autores principales: Silich, Stephan J., Wetz, Robert V., Riebling, Nancy, Coleman, Christine, Khoueiry, Georges, N, Abi Rafeh, Bagon, Emma, Szerszen, Anita
Formato: CEU exam questions research tables/charts Journal Article
Publicado: Lippincott Williams & Wilkins Jan2012
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Using Six Sigma Methodology to Reduce Patient Transfer Times from Floor to Critical-Care Beds.
      aug:
        au:
          Silich, Stephan J.
          Wetz, Robert V.
          Riebling, Nancy
          Coleman, Christine
          Khoueiry, Georges
          N, Abi Rafeh
          Bagon, Emma
          Szerszen, Anita
      sug:
        subj:
          Quality Improvement Methods
          Reaction Time
          Transfer, Intrahospital
          Intensive Care Units New York
          Critically Ill Patients
          Human
          New York
          Validation Studies
          Outcome Assessment
          Continuity of Patient Care
          Multidisciplinary Care Team
          Root Cause Analysis
          Critical Path
          Goal-Setting
          Problem Solving Methods
          Process Assessment (Health Care)
          Time Management
          Data Analysis, Statistical
          Medical Orders
          Education, Continuing (Credit)
      ab: Introduction: In response to concerns regarding delays in transferring critically ill patients to intensive care units (ICU), a quality improvement project, using the Six Sigma process, was undertaken to correct issues leading to transfer delay. Objective: To test the efficacy of a Six Sigma intervention to reduce transfer time and establish a patient transfer process that would effectively enhance communication between hospital caregivers and improve the continuum of care for patients. Methods: The project was conducted at a 714-bed tertiary care hospital in Staten Island, New York. A Six Sigma multidisciplinary team was assembled to assess areas that needed improvement, manage the intervention, and analyze the results. Results: The Six Sigma process identified eight key steps in the transfer of patients from general medical floors to critical care areas. Preintervention data and a root-cause analysis helped to establish the goal transfer-time limits of 3 h for any individual transfer and 90 min for the average of all transfers. Conclusions: The Six Sigma approach is a problem-solving methodology that resulted in almost a 60% reduction in patienttransfer time from a general medical floor to a critical care area. The Six Sigma process is a feasible method for implementing healthcare related quality of care projects, especially those that are complex.
      pubtype: Academic Journal
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        CEU
        exam questions
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    language: English
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