Improving First Case Start Times Using Lean in an Academic Medical Center

Abstract Background Lean is a process improvement strategy that can improve efficiency of the peri-operative process. The purpose of this study was to identify etiologies of late surgery start times, implement Lean interventions, and analyze their effects. Methods A retrospective review of all first...

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Veröffentlicht in:The American journal of surgery 2017-06, Vol.213 (6), p.991-995
Hauptverfasser: Deldar, Romina, BS, Solemani, Tahereh, MD, MPH, Harmon, Carol, RN, Stevens, Larry H., MD, Sood, Rajiv, MD, Tholpady, Sunil S., MD, PhD, Chu, Michael W., MD
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Sprache:eng
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Zusammenfassung:Abstract Background Lean is a process improvement strategy that can improve efficiency of the peri-operative process. The purpose of this study was to identify etiologies of late surgery start times, implement Lean interventions, and analyze their effects. Methods A retrospective review of all first-start surgery cases was performed. Lean was implemented in May 2015, and cases seven months before and after implementation were analyzed. Results A total of 4,492 first-start cases were included; 2,181 were pre-Lean and 2,311 were post-Lean. The post-Lean group had significantly higher on-time starts than the pre-Lean group (69.0% vs. 57.0%, p
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2016.08.025