2.50
Hdl Handle:
http://hdl.handle.net/10755/161846
Category:
Abstract
Type:
Presentation
Title:
Using LEAN Tools To Improve On-Time First Start OR Cases
Author(s):
Holliday, Pamela
Author Details:
Pamela A. Holliday, RN, CNOR, ACLS, PALS, University of Missouri Health Care, Columbia, Missouri, USA, email: HollidayP@health.missouri.edu
Abstract:
Poster presented at AORN's 58th Annual Congress: Purpose: A delayed first start surgical case can cascade into a multitude of inefficiencies throughout the day. It was estimated that for every first start case, a delay costs the organization approximately $100 per minute of delay. Methodology: A multidisciplinary team dedicated to using LEAN tools for improvement in the operating room (OR) was formed. The team developed an aim statement to define the goal of the project, which was to increase the number of first start cases wheeled out of main OR holding by the scheduled start time to a room ready operative suite to 100%. The team used LEAN methodology to create a process flowchart with each step representing the process of a first start patient from check-in and registration to the operating holding area and finally, the OR. It was determined that 29% of the process was non-value added. By removing this waste, the process was streamlined to allow for more on-time first start cases in the OR. Results: Overall, the average percent of daily on-time first start cases increased from 7.3% in September 2009 to 43% in July 2010. For first start cases that were delayed, the median number of minutes of delay was 10 in October of 2009, and decreased to a median of a two-minute delay by May 2010. Perioperative Nursing Implications: Team members learned the value of LEAN tools in using data to discover areas for improvement and acting on the issues to improve patient care through an increase in OR efficiencies.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2011
Conference Name:
AORN 58th Annual Congress
Conference Host:
Association of periOperative Registered Nurses
Conference Location:
Philadelphia, Pennsylvania, USA
Description:
AORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Center
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleUsing LEAN Tools To Improve On-Time First Start OR Casesen_GB
dc.contributor.authorHolliday, Pamelaen_US
dc.author.detailsPamela A. Holliday, RN, CNOR, ACLS, PALS, University of Missouri Health Care, Columbia, Missouri, USA, email: HollidayP@health.missouri.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/161846-
dc.description.abstractPoster presented at AORN's 58th Annual Congress: Purpose: A delayed first start surgical case can cascade into a multitude of inefficiencies throughout the day. It was estimated that for every first start case, a delay costs the organization approximately $100 per minute of delay. Methodology: A multidisciplinary team dedicated to using LEAN tools for improvement in the operating room (OR) was formed. The team developed an aim statement to define the goal of the project, which was to increase the number of first start cases wheeled out of main OR holding by the scheduled start time to a room ready operative suite to 100%. The team used LEAN methodology to create a process flowchart with each step representing the process of a first start patient from check-in and registration to the operating holding area and finally, the OR. It was determined that 29% of the process was non-value added. By removing this waste, the process was streamlined to allow for more on-time first start cases in the OR. Results: Overall, the average percent of daily on-time first start cases increased from 7.3% in September 2009 to 43% in July 2010. For first start cases that were delayed, the median number of minutes of delay was 10 in October of 2009, and decreased to a median of a two-minute delay by May 2010. Perioperative Nursing Implications: Team members learned the value of LEAN tools in using data to discover areas for improvement and acting on the issues to improve patient care through an increase in OR efficiencies.en_GB
dc.date.available2011-10-27T08:41:36Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T08:41:36Z-
dc.conference.date2011en_US
dc.conference.nameAORN 58th Annual Congressen_US
dc.conference.hostAssociation of periOperative Registered Nursesen_US
dc.conference.locationPhiladelphia, Pennsylvania, USAen_US
dc.descriptionAORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Centeren_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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