Kaizen Method for Esophagectomy Patients: Improved Quality Control, Outcomes, and Decreased Costs

Iannettoni, Mark D.; Lynch, William R.; Parekh, Kalpaj R.; McLaughlin, Kelley

doi:10.1016/j.athoracsur.2011.01.001

Cited by 44 publications

(34 citation statements)

References 6 publications

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“…Iannettoni et al [70] have shown that the KAIZEN method can be successfully employed in patients with esophageal resection due to the elimination of variability, standardization of treatment processes with improved results, decreased length of hospital stay, and reduced costs. Interdisciplinary clinical pathways have a similar aim: the improvement in individual clinical care processes and enhanced transparency [71].…”

Section: Discussionmentioning

confidence: 98%

Quality Management and Key Performance Indicators in Oncologic Esophageal Surgery

Gockel¹,

Ahlbrand

Arras

et al. 2015

Dig Dis Sci

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Ranking systems and comparisons of quality and performance indicators will be of increasing relevance for complex "high-risk" procedures such as esophageal cancer surgery. The identification of evidence-based standards relevant for key performance indicators in esophageal surgery is essential for establishing monitoring systems and furthermore a requirement to enhance treatment quality. In the course of this review, we analyze the key performance indicators case volume, radicality of resection, and postoperative morbidity and mortality, leading to continuous quality improvement. Ranking systems established on this basis will gain increased relevance in highly complex procedures within the national and international comparison and furthermore improve the treatment of patients with esophageal carcinoma.

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Section: Discussionmentioning

confidence: 98%

Quality Management and Key Performance Indicators in Oncologic Esophageal Surgery

Gockel¹,

Ahlbrand

Arras

et al. 2015

Dig Dis Sci

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“…9 Decreased length of stay, decreased waiting time to be seen, decreased throughput time, reduced adverse events, and improved patient satisfaction are among the commonly described improved care processes and patient care outcome eforts. 5,9,10,[17][18][19][20][21][22] Reduced throughput from the initial visit to treatment plan was described as a primary objective in our project. Our reduction-35 to eight business days, a 72% reduction-is in line with reports of other Lean interventions.…”

Section: Discussionmentioning

confidence: 99%

Clinical Integration in a Dental School Clinic Through an Enhanced Patient Intake Process

Robinson

Fischbach

Salisbury

et al. 2019

Journal of Dental Education

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Dental care in the U.S. is based on a general practice model of care delivery that can be enhanced by the integration of the dentists and allied dental professionals. There are 25 U.S. dental schools with associated dental hygiene programs, presenting distinctive opportunities for educating the dental health care team. Integrated educational clinical experiences are believed to positively influence teamwork and quality of care that parallels the authentic general practice environment. Lean management, developed by Toyota and used in a variety of types of organizations including health care, provides a distinctive blend of engineering principles and operations management to enhance business and operations processes. A fundamental principle of Lean management is the elimination of waste and preservation of only those value‐added components of a process. The faculty and staff of The Ohio State University College of Dentistry, trained in Lean process improvement, applied techniques to enhance and integrate an inefficient patient intake (admissions) process. The aim of this initiative was to improve patient throughput in the patient intake process and to provide dental and dental hygiene students with enhanced educational experiences from improved clinical integration. These goals were achieved through streamlining patient flow and relocating major phases of the process. Although new patient retention and cancellation/no‐show rates remained mostly unchanged, this enhancement project resulted in improved access to care, improved continuity of care, expanded scope of dental services offered, improved patient satisfaction, and enhanced dental and dental hygiene student collaboration and teamwork. These outcomes suggest that process improvement initiatives can serve as valuable opportunities for integration of the dental health care team.

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“…However, Lean tools have also been applied to the care of esophagectomy patients at the University of Iowa and also have led to striking reductions in hospital costs and lengths of stay. 38 Thus, although the infrastructure to support standardized care is well developed in our practice, similar techniques have been successfully applied at other institutions.…”

Section: Discussionmentioning

confidence: 99%

A Standardized Anesthetic and Surgical Clinical Pathway for Esophageal Resection

Porteous¹,

Neal

Slee

et al. 2015

Regional Anesthesia and Pain Medicine

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Kaizen Method for Esophagectomy Patients: Improved Quality Control, Outcomes, and Decreased Costs

Cited by 44 publications

References 6 publications

Quality Management and Key Performance Indicators in Oncologic Esophageal Surgery

Quality Management and Key Performance Indicators in Oncologic Esophageal Surgery

Clinical Integration in a Dental School Clinic Through an Enhanced Patient Intake Process

A Standardized Anesthetic and Surgical Clinical Pathway for Esophageal Resection

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