Applying Lean principles to create a high throughput mass COVID-19 vaccination site

Froman, Meghan N; Walser, Matthew P; Lauzardo, Michael; Graban, Mark; Southwick, Frederick S.

doi:10.1136/bmjoq-2021-001617

Cited by 7 publications

(2 citation statements)

References 17 publications

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“…Given the limited resources and healthcare personnel in many regions of the world, some authors have recommended the use of lean principles and continual learning. These approaches can be learned conveniently through large open online courses and can be used to create high throughput vaccination sites, as described by Froman et al [ 15 ]. With 78 personnel working efficiently and effectively together, they described a maximum throughput of 5024 injections over 10 h. As compared with other published COVID-19 mass-vaccination sites, this study described a threefold to fourfold higher productivity than most other published settings.…”

Section: Discussionmentioning

confidence: 99%

Setting up the Largest Mass Vaccination Center in Europe: The One-Physician One-Nurse Protocol

Houzé-Cerfon¹,

Viault²,

Zerdoud³

et al. 2023

Vaccines

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To manage mass vaccination without impacting medical resources dedicated to care, we proposed a new model of Mass Vaccination Centers (MVC) functioning with minimum attending staffing requirements. The MVC was under the supervision of one medical coordinator, one nurse coordinator, and one operational coordinator. Students provided much of the other clinical support. Healthcare students were involved in medical and pharmaceutical tasks, while non-health students performed administrative and logistical tasks. We conducted a descriptive cross-sectional study to describe data concerning the vaccinated population within the MVC and the number and type of vaccines used. A patient satisfaction questionnaire was collected to determine patient perception of the vaccination experience. From 28 March to 20 October 2021, 501,714 vaccines were administered at the MVC. A mean rate of 2951 ± 1804 doses were injected per day with a staff of 180 ± 95 persons working every day. At peak, 10,095 injections were given in one day. The average time spent in the MVC was 43.2 ± 15 min (time measured between entry and exit of the structure). The average time to be vaccinated was 26 ± 13 min. In total, 4712 patients (1%) responded to the satisfaction survey. The overall satisfaction with the organization of the vaccination was 10 (9–10) out of 10. By using one attending physician and one nurse to supervise a staff of trained students, the MVC of Toulouse optimized staffing to be among the most efficient vaccination centers in Europe.

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Section: Discussionmentioning

confidence: 99%

Setting up the Largest Mass Vaccination Center in Europe: The One-Physician One-Nurse Protocol

Houzé-Cerfon¹,

Viault²,

Zerdoud³

et al. 2023

Vaccines

View full text Add to dashboard Cite

show abstract

“…They outlined the method of developing a scalable and replicable MVC model in Lombardy, Italy, which can be adapted and created in non–health care locations, whereas Andrade et al [ 22 ] focused their research on investigating the UAE’s population’s motivation to receive the vaccine and its correlation to their level of understanding, acceptance, and conspiracy beliefs related to the vaccine. Another example of a recently published study illustrated the application of Lean tools to develop an MVC and investigated its effectiveness and whether this approach increases the efficiency of mass vaccination sites [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

Identification of Key Factors for Optimized Health Care Services: Protocol for a Multiphase Study of the Dubai Vaccination Campaign

Faroun¹,

Zary²,

Baqer³

et al. 2023

JMIR Res Protoc

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Background Mass vaccination of the global population against the novel COVID-19 outbreak posed multiple challenges, including effectively administering millions of doses in a short period of time while ensuring public safety and accessibility. The government of Dubai launched a mass campaign in December 2020 to vaccinate all its citizens and residents, targeting the population aged >18 years against COVID-19. The vaccination campaign involved a transformation of multiple commercial spaces into mass vaccination centers across the city of Dubai, the largest of which was the Dubai One Central (DOC) vaccination center. It was operational between January 17, 2021, and 27 January 27, 2022. Objective The multiphase research study aims to empirically explore the opinions of multiple health care stakeholders, elicit the key success factors that can influence the effective delivery of emergency health care services such as a COVID-19 mass vaccination center, and explore how these factors relate to one another. Methods To understand more about the operations of the DOC vaccination center, the study follows a multiphase design divided into 2 phases. The study is being conducted by the Institute for Excellence in Health Professions Education at Mohammed Bin Rashid University of Medicine and Health Sciences between December 2021 and January 2023. To elicit the key success factors that contributed to the vaccination campaign administered at DOC, the research team conducted 30 semistructured interviews (SSIs) with a sample of staff and volunteers who worked at the DOC vaccination center. Stratified random sampling was used to select the participants, and the interview cohort included representatives from the management team, team leaders, the administration and registration team, vaccinators, and volunteers. A total of 103 people were invited to take part in the research study, and 30 agreed to participate in the SSIs. To validate the participation of various stakeholders, phase 2 will analytically investigate one’s subjectivity through Q-methodology and empirically investigate the opinions obtained from the research participants during phase 1. Results As of July 2022, 30 SSIs were conducted with the research participants. Conclusions The study will provide a comprehensive 2-phase approach to obtaining the key success factors that can influence the delivery of high-quality health care services such as emergency services launched during a global pandemic. The study’s findings will be translated into key factors that could support designing future health care services utilizing evidence-based practice. In line with future plans, a study will use data, collected through the DOC vaccination center, to develop a simulation model outlining the process of the customer journey and center workflow. International Registered Report Identifier (IRRID) DERR1-10.2196/42278

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Remote kaizen events: a response to COVID-19 and the new normal

Velarde,

Kefalakis,

Hines

2024

Total Quality Management & Business Excellence

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Applying Lean principles to create a high throughput mass COVID-19 vaccination site

Cited by 7 publications

References 17 publications

Setting up the Largest Mass Vaccination Center in Europe: The One-Physician One-Nurse Protocol

Setting up the Largest Mass Vaccination Center in Europe: The One-Physician One-Nurse Protocol

Identification of Key Factors for Optimized Health Care Services: Protocol for a Multiphase Study of the Dubai Vaccination Campaign

Remote kaizen events: a response to COVID-19 and the new normal

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