APPLICATION OF LEAN PRINCIPLES POSITIVELY IMPACTS CLINICAL EFFICIENCY IN AN AMBULATORY CHEMOTHERAPY INFUSION SUITE

2.50
Hdl Handle:
http://hdl.handle.net/10755/165245
Category:
Abstract
Type:
Presentation
Title:
APPLICATION OF LEAN PRINCIPLES POSITIVELY IMPACTS CLINICAL EFFICIENCY IN AN AMBULATORY CHEMOTHERAPY INFUSION SUITE
Author(s):
Gaarde, Ami; Devery, Tina; Singh, Sarabdeep
Author Details:
Ami Gaarde, RN BSN OCN, Assistant Nurse Manager, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA, email: ami-gaarde@uiowa.edu; Tina Devery; Sarabdeep Singh
Abstract:
The volume of patients treated in the ambulatory infusion center at a large Midwestern NCI designated Cancer Center has steadily increased over the past several years. The reasons for this include: more complicated chemotherapy regimens, an increase in those being done in the outpatient setting, and earlier patient discharges from the hospital needing continued supportive care. A multidisciplinary team at this academic hospital determined it would be beneficial to apply Lean principles to the daily operations of the infusion suite in order to improve efficiency and patient and staff satisfaction. Lean principles include evaluating workflow and replacing weaknesses with value-added services while maximizing efficiency. Goals were to: reduce patient wait times, reduce overall length of stay, and increase staff efficiency. The clinic work flow was studied during the 5-day event by directly observing systems of operation. Members of the team used the Value Stream Mapping tool. This tool outlines every step taken by the nursing staff. It empowers the team to question the value of each step in the work process. The team improved efficiency by incorporating ideas from staff directly involved in patient care practices. Many simple pertinent actions were taken to reorganize and optimize the healthcare delivery process. Examples include: creating a pod system to keep nurses consistently in one area of the suite, making both medication and patient supplies more easily accessible to all nursing staff, front loading of patient appointments, reformatting of the scheduling system, and establishing an automated paging system to alert staff when medication is available. The event significantly enhanced clinical efficiency and satisfaction of patients and staff. It eliminated non-value added steps and reduced unessential hand-offs. This helped reduce patient wait time by 69 percent, and distance traveled by staff by over 80 percent. The application of the Lean principles maximized efficiency without sacrificing optimal patient care. By implementing these business principles into the health care system, oncology nurses have a direct impact on the clinical efficiency of the infusion suite.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, USA
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.titleAPPLICATION OF LEAN PRINCIPLES POSITIVELY IMPACTS CLINICAL EFFICIENCY IN AN AMBULATORY CHEMOTHERAPY INFUSION SUITEen_GB
dc.contributor.authorGaarde, Amien_US
dc.contributor.authorDevery, Tinaen_US
dc.contributor.authorSingh, Sarabdeepen_US
dc.author.detailsAmi Gaarde, RN BSN OCN, Assistant Nurse Manager, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA, email: ami-gaarde@uiowa.edu; Tina Devery; Sarabdeep Singhen_US
dc.identifier.urihttp://hdl.handle.net/10755/165245-
dc.description.abstractThe volume of patients treated in the ambulatory infusion center at a large Midwestern NCI designated Cancer Center has steadily increased over the past several years. The reasons for this include: more complicated chemotherapy regimens, an increase in those being done in the outpatient setting, and earlier patient discharges from the hospital needing continued supportive care. A multidisciplinary team at this academic hospital determined it would be beneficial to apply Lean principles to the daily operations of the infusion suite in order to improve efficiency and patient and staff satisfaction. Lean principles include evaluating workflow and replacing weaknesses with value-added services while maximizing efficiency. Goals were to: reduce patient wait times, reduce overall length of stay, and increase staff efficiency. The clinic work flow was studied during the 5-day event by directly observing systems of operation. Members of the team used the Value Stream Mapping tool. This tool outlines every step taken by the nursing staff. It empowers the team to question the value of each step in the work process. The team improved efficiency by incorporating ideas from staff directly involved in patient care practices. Many simple pertinent actions were taken to reorganize and optimize the healthcare delivery process. Examples include: creating a pod system to keep nurses consistently in one area of the suite, making both medication and patient supplies more easily accessible to all nursing staff, front loading of patient appointments, reformatting of the scheduling system, and establishing an automated paging system to alert staff when medication is available. The event significantly enhanced clinical efficiency and satisfaction of patients and staff. It eliminated non-value added steps and reduced unessential hand-offs. This helped reduce patient wait time by 69 percent, and distance traveled by staff by over 80 percent. The application of the Lean principles maximized efficiency without sacrificing optimal patient care. By implementing these business principles into the health care system, oncology nurses have a direct impact on the clinical efficiency of the infusion suite.en_GB
dc.date.available2011-10-27T12:15:05Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:15:05Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, USAen_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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