Using lean principles to improve outpatient adult infusion clinic chemotherapy preparation turnaround times.
Purpose. The workflow and chemotherapy preparation turnaround times at an adult infusion clinic were evaluated to identify opportunities to optimize workflow and efficiency. Methods. A three-phase study using Lean Six Sigma methodology was conducted. In phase 1, chemotherapy turnaround times in the...
| Publicado en: | American Journal of Health-System Pharmacy Vol. 72; no. 13; pp. 1138 - 1147 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
7/1/2015
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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=109832351&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 109832351 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: 7/1/2015 vid: 72 iid: 13 pid: 622 pub: Oxford University Press / USA artinfo: ui: 109832351 108346620 10.2146/ajhp140453 NLM26092964 109832351 ppf: 1138 ppct: 9 formats: fmt: @attributes: type: P tig: atl: Using lean principles to improve outpatient adult infusion clinic chemotherapy preparation turnaround times. aug: au: Lamm, Matthew H. Eckel, Stephen Daniels, Rowell Amerine, Lindsey B. affil: Lead Pharmacist, Department of Pharmacy, University of North Carolina (UNC) Hospitals--Hillsborough Campus, Chapel Hill sug: subj: Chemotherapy, Cancer Turnaround Time Outpatients Program Implementation Human Descriptive Statistics Data Analysis Software Treatment Outcomes ab: Purpose. The workflow and chemotherapy preparation turnaround times at an adult infusion clinic were evaluated to identify opportunities to optimize workflow and efficiency. Methods. A three-phase study using Lean Six Sigma methodology was conducted. In phase 1, chemotherapy turnaround times in the adult infusion clinic were examined one year after the interim goal of a 45-minute turnaround time was established. Phase 2 implemented various experiments including a five-day Kaizen event, using lean principles in an effort to decrease chemotherapy preparation turnaround times in a controlled setting. Phase 3 included the implementation of process-improvement strategies identified during the Kaizen event, coupled with a final refinement of operational processes. Results. In phase 1, the mean turnaround time for all chemotherapy preparations decreased from 60 to 44 minutes, and a mean of 52 orders for adult outpatient chemotherapy infusions was received each day. After installing new processes, the mean turnaround time had improved to 37 minutes for each chemotherapy preparation in phase 2. In phase 3, the mean turnaround time decreased from 37 to 26 minutes. The overall mean turnaround time was reduced by 26 minutes, representing a 57% decrease in turnaround times in 19 months through the elimination of waste and the implementation of lean principles. This reduction was accomplished through increased efficiencies in the workplace, with no addition of human resources. Conclusion. Implementation of Lean Six Sigma principles improved workflow and efficiency at an adult infusion clinic and reduced the overall chemotherapy turnaround times from 60 to 26 minutes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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