2.50
Hdl Handle:
http://hdl.handle.net/10755/182308
Category:
Abstract
Type:
Presentation
Title:
Using Lean Sigma to Drive Improvements in ED Throughput and Capacity
Author(s):
O'Neal, Carolyn
Author Details:
Carolyn O'Neal, MSN, RN, Columbus Regional Hospital, Columbus, Indiana, USA, email: coneal@crh.org
Abstract:
Demand in the Emergency Department (ED) has increased by 27% causing a need to expand ED facilities. With growing economical challenges, building expansion was unable to take place straining existing capacity and throughput. Delays in care resulted in increased left without being seen rates and patient dissatisfaction. Nursing turnover increased, decreasing physician confidence in quality of care delivery. Leadership partnered with ED nursing to redesign patient flow to improve access and timeliness of care delivery. An interdisciplinary team critiqued literature, and benchmarked better performing organizations to determine care processes could be achieved by engaging internal resources. Lean Sigma trained nurses led a Kaizen even with ED nursing and physicians, to streamline intake, triage and fast track processes. Clinicians identified non-value added work, rapidly implementing work re-design to reduce multiple functions and enhance involvement in patient-centered care. A systematic deployment of the new processes resulted in a 12% increase in patient throughput in spite of a 5% increase in patient volume while minimizing the number of existing patient rooms. Patient satisfaction scores were sustained at 90%, significantly above national benchmark. Staff satisfaction scores increased to the 95 percentile. Left without being seen rate is now 0.7% exceeding the project goal of 2.25% and the national benchmark of 2.4%.ED nursing redesigned a care delivery system that led to the enculturation of efficient effective, patient-centered care sustaining organizational outcomes.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, 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.titleUsing Lean Sigma to Drive Improvements in ED Throughput and Capacityen_GB
dc.contributor.authorO'Neal, Carolynen_US
dc.author.detailsCarolyn O'Neal, MSN, RN, Columbus Regional Hospital, Columbus, Indiana, USA, email: coneal@crh.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182308-
dc.description.abstractDemand in the Emergency Department (ED) has increased by 27% causing a need to expand ED facilities. With growing economical challenges, building expansion was unable to take place straining existing capacity and throughput. Delays in care resulted in increased left without being seen rates and patient dissatisfaction. Nursing turnover increased, decreasing physician confidence in quality of care delivery. Leadership partnered with ED nursing to redesign patient flow to improve access and timeliness of care delivery. An interdisciplinary team critiqued literature, and benchmarked better performing organizations to determine care processes could be achieved by engaging internal resources. Lean Sigma trained nurses led a Kaizen even with ED nursing and physicians, to streamline intake, triage and fast track processes. Clinicians identified non-value added work, rapidly implementing work re-design to reduce multiple functions and enhance involvement in patient-centered care. A systematic deployment of the new processes resulted in a 12% increase in patient throughput in spite of a 5% increase in patient volume while minimizing the number of existing patient rooms. Patient satisfaction scores were sustained at 90%, significantly above national benchmark. Staff satisfaction scores increased to the 95 percentile. Left without being seen rate is now 0.7% exceeding the project goal of 2.25% and the national benchmark of 2.4%.ED nursing redesigned a care delivery system that led to the enculturation of efficient effective, patient-centered care sustaining organizational outcomes.en_GB
dc.date.available2011-10-28T15:18:30Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:18:30Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_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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