LEAN SIX SIGMA UTILIZATION IN THE OPERATING ROOM

This study is an in-depth analysis using Lean Six Sigma tools to improve the workflow aspects specific to Transcatheter Aortic Valve Replacement (TAVR) procedures. TAVR involves several steps that must be executed to achieve optimal results. The analysis began with a comprehensive evaluation of each segment of the procedure. Timestamps were compared with national standards for each segment of the procedure. The analysis showed a total in-room time of 108.6 minutes compared to the standard of 110 minutes. The one area significantly worse than the standard was the in-room to first-stick time of 47 minutes versus the standard of 37 minutes. Using the Lean Six Sigma tools of spatial layout and movement tracing analysis helped identify inefficient intraoperative equipment and supplies placement. Repositioning resulted in a 30% reduction in average segment time, enabling the hospital to increase daily TAVR procedures by 50%.