Improving Efficiency of Interventional Service by Lean Six Sigma

Zhang, Li; Runzheimer, Karin; Bonifer, Elisabeth; Keulers, Annika; Piechowiak, Eike Immo; Mahnken, Andreas H.

doi:10.1016/j.jacr.2015.05.016

Cited by 10 publications

(5 citation statements)

References 4 publications

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“…There have been a number of studies aimed at identifying and addressing the delays that occur in the interventional suites of large academic hospitals with multiple modalities and suites available. 1,7,8,[10][11][12]14 This study demonstrated that similar challenges were faced at our 370 bed metropolitan hospitalwhich performed approximately 700 interventional angiography cases per year. Although this study only measured the delays occurring for outpatient examinations and did not include inpatient and emergency department examinations, there are nonetheless a number of comparisons that can be made.…”

Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 76%

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Identifying delays in the outpatient interventional radiology department: a quality improvement study

Kilgour,

McLean,

Paul

et al. 2023

J of Medical Radiation Sci

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IntroductionIn the post‐COVID 19 environment, it has become increasingly important for healthcare services to optimise service delivery for the benefit of both patients and staff. The project purpose was to quantify and determine causes of throughput delays in a newly established outpatient angiography service in a public hospital setting.MethodsThis single‐centre study obtained quantitative and qualitative data for 81 consecutive outpatient interventional radiology (IR) examinations over a 3‐month period via survey and retrospective analysis of electronic medical records. Staff participating in data collection were able to record multiple causes for delay in a single case and were also able to include comments, allowing for more detailed descriptions of the delays that occurred.ResultsA total of 93 delay factors were identified in 73 of the 81 outpatient interventional examinations and grouped into six categories via thematic analysis. Availability of the IR room (40%), availability of the radiologist (28%) and insufficient documentation (18%) were identified as the most frequent causes for delay. Linear regression analysis showed that documentation (P = 0.0002) and room unavailability (P = 0.022) were independently associated with procedural starting delay.ConclusionDelays to the IR procedural start time occurred in 90% of cases (73/81). This study identified the causes for delays in outpatient interventional procedures. This information can be used to improve service delivery in IR departments.

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Section: Discussionmentioning

confidence: 61%

Section: Discussionmentioning

confidence: 76%

Identifying delays in the outpatient interventional radiology department: a quality improvement study

Kilgour,

McLean,

Paul

et al. 2023

J of Medical Radiation Sci

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“…The chosen theme, healthcare, is justified by the growing demand for health services, combined with financial limitations and the need to provide efficient services and excellence (PATEL et al, 2015). In addition, the health resources are scarce and often overloaded, which implies restrictions on the system (ZHANG et al, 2015). Deslandes (1997) cites the importance of health, indicates it as relevant to public health.…”

Section: Methodsmentioning

confidence: 99%

“…The effective management of health services, focus on processes, tends to bring benefits such as reducing delays in patient care, patient satisfaction and staff, in addition to improving service with lower costs of operation Patel (2015) and Zhang et al (2015). Aguilar-Escobar et Guimarães et al (2013) mention that patient care is the result of a set of activities and that integration among sectors must occur synchronously.…”

Section: Methodsmentioning

confidence: 99%

Lean Manufacturing in Healthcare: A Systematic Review of Literature

Dias

Reis

Oliveira³

et al. 2018

RPD

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The healthcare environment aims at improving and quality in health management, with trends and practices in hospitals, institutions, clinics, laboratories and companies in this segment, with the purpose of bringing more comfort and better conditions in the care of patients. Faced with the difficulties of this area, it becomes increasingly important to reduce waste and improve processes. The goal of this paper is to carry out a systematic review of literature on the topic lean manufacturing in healthcare. The data were obtained from four online databases Web of Science, Science Direct, Emerald Insight and Scopus. Articles indexed in the last 10 years were selected (2006-2016). To select articles, an advanced search was performed using the Boolean expression "E" that combined keywords for better specific results. Professionals working in the health segment will have the concepts and applied techniques, in addition to the work indexed in recent years, which will facilitate the research and development of the work, translating into increased efficiency and ultimately, improvement for the population. Despite the importance of the theme, there are few lean manufacturing jobs applied in the healthcare environment. This research can stimulate future studies due to its applicability for the improvement of health services.

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“…Clinics and hospitals work on improving the outcome where the customer is patient while they aim to reduce the waiting time for reports, or say appointments. [ 4 5 6 ] For example, an eye surgeon can lean the process by having patients ready in adjoining rooms with complete papers, and the surgeon would just then have to move from room to room performing the surgery, ensuring minimal time lags between the ocular surgeries planned for the day. In industry, the focus may be toward timely submission of regulatory documents or may be reducing turnaround time for a manuscript, and so on.…”

Section: What Is Lean and How Fashionable It Is?mentioning

confidence: 99%