Author:
Torkki Paulus Mikael,Alho Antti Ilmari,Peltokorpi Antti Veikko,Torkki Markus Ilmari,Kallio Pentti Ensio
Abstract
Objectives:Industrial management principles could be used to improve the quality and efficiency of health care. In this study, we have evaluated the effects of a process management approach to trauma patient care. The major objective was to reduce the waiting times and increase the efficiency of the hospital.Methods:Urgent surgery care was analyzed as an overall process. The process development followed the Plan-Do-Check-Act (PDCA) cycle and was based on statistical analysis of certain performance metrics. Data were collected from hospital databases and by personnel interviews. To develop the process, the anesthesia induction was performed outside the operating room, better process guidance was developed, and patient flow was reorganized. The transition time for these changes was 1 year (2002 to 2003).Results:Waiting times decreased by 20.5 percent (p<.05), nonoperative times in the operating room were reduced by 23.1 percent (p<.001), and efficiency was increased by 9.7 percent (p<.001) after reengineering of the care process. Overtime hours decreased by 30.9 percent.Conclusions:Managing urgent surgical care as a process can improve the productivity and quality of care without a need to increase personnel resources. The focus should be on reducing waiting times and waste times.
Publisher
Cambridge University Press (CUP)
Reference13 articles.
1. Deming WE .1986.Out of the crisis.Cambridge, MA:Massachusetts Institute of Technology, Centre for Advanced Engineering Study;
2. Williams B , Kentor M , Williams J , et al.2000 Process analysis in outpatient knee surgery: Effects of regional and general anesthesia on anesthesia-controlled time.Anesthesiology.93:529–538.
3. Rotondi AJ , Brindis C , Cantees KK , et al.1997 Benchmarking the perioperative process. I. Patient routing systems: A method for continual improvement of patient flow and resource utilization.J Clin Anesth.9:159–169.
4. Karvonen S , Rämö J , Leijala M , Holmström J .2004 Productivity improvement in heart surgery—a case study on care process development.Prod Plan Control.15:238–246.
5. Laursen M , Gertsen F , Johansen J .2003 Applying lean thinking in hospitals—exploring implementation difficulties. The hospital of the future.Third international conference on the management of healthcare & medical technology.Warwick, UK:7–9th September.
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