Applying Lean Six Sigma to Reduce the Incidence of Unplanned Surgery Cancellation at a Large Comprehensive Tertiary Hospital in China.
Unplanned surgery cancellation (USC) was an important quality management issue in the course of medical care for surgical patients, which caused inappropriate use of hospital resources and had negative impacts on quality and safety. This study used Lean Six Sigma to reduce the incidence of USC. Foll...
| Publicado en: | Inquiry (00469580) Vol. 57; pp. 1 - 10 |
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| Autores principales: | , , , , , , , , |
| Formato: | algorithm research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
9/3/2020
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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=145495009&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 145495009 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00469580 INQ jtl: Inquiry (00469580) issn: 00469580 maglogo: Y pubinfo: dt: 9/3/2020 vid: 57 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 145495009 145495009 145495009 10.1177/0046958020953997 145495009 ppf: 1 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Applying Lean Six Sigma to Reduce the Incidence of Unplanned Surgery Cancellation at a Large Comprehensive Tertiary Hospital in China. aug: au: Zhu, Ling-Feng Qian, Wei-Yang Zhou, Gang Yang, Min Lin, Jing-Jing Jin, Jing-Ling Dong, Shu-Jing Zhu, Lin-Hong Chen, Hai-Xiao affil: Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Linhai, China sug: subj: Quality Improvement Methods Surgery Cancellations Tertiary Health Care Administration Appointments and Schedules Health Facility Administration Human China Operating Rooms Administration Organizational Efficiency Patient Admission Reports After Care Health Education Bed Occupancy Professional-Patient Relations Communication Anesthesia Information Systems Patient Safety Chi Square Test Descriptive Statistics Funding Source ab: Unplanned surgery cancellation (USC) was an important quality management issue in the course of medical care for surgical patients, which caused inappropriate use of hospital resources and had negative impacts on quality and safety. This study used Lean Six Sigma to reduce the incidence of USC. Following the Lean Six Sigma DMAIC (Define, Measure, Analyze, Improve, and Control) process, the main factors influencing the USC were identified, such as the time of informing patient admission, the time of submitting operation notice, and the management of test report follow-up. A series of measures were implemented including improving the health education content of virtual bed patients, standardizing the way of communication between the Admission Management Center and the patients, improving the timing of anesthesia evaluation, optimizing the process of operation notice with an information system, and implementing the regulations of virtual bed management. The incidence of USC reduced from 10.21% in Jan. 2016 to 3.8% in Dec. 2016, and the Z -score increased from 1.25 to 1.68, which improved patient safety and demonstrated that Lean Six Sigma was an effective method to solve cross-department issues in hospital. pubtype: Academic Journal doctype: algorithm research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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