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The Participative Design of an Endoscopy Facility using Lean 3P
In the UK, bowel cancer is the second largest cancer killer. Diagnosing people earlier can save lives but demand for endoscopies is increasing and this can put pressure on waiting times. To address this challenge, an endoscopy unit in North East England decided to improve their facilities to increas...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
British Publishing Group
2016
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4949607/ https://www.ncbi.nlm.nih.gov/pubmed/27493744 http://dx.doi.org/10.1136/bmjquality.u208920.w3611 |
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author | Smith, Iain |
author_facet | Smith, Iain |
author_sort | Smith, Iain |
collection | PubMed |
description | In the UK, bowel cancer is the second largest cancer killer. Diagnosing people earlier can save lives but demand for endoscopies is increasing and this can put pressure on waiting times. To address this challenge, an endoscopy unit in North East England decided to improve their facilities to increase capacity and create environments that improve the experience of users. This presented a significant opportunity for step change improvement but also a problem in terms of creating designs that meet user requirements whilst addressing structural or space constraints. The Lean design process known as ‘3P' (standing for the production preparation process) was utilised as a participative design strategy to engage stakeholders in the design of the new department. This involved a time-out workshop (or 3P event) in which Lean and participative design tools were utilised to create an innovative design based on ‘point of delivery' (POD) principles. The team created a design that demonstrated an increase in treatment room capacity by 25% and bed capacity by 70% whilst reducing travel distance for patients by 25.8% and staff by 27.1%. This was achieved with an increase in available space of only 13%. The Lean 3P method provided a structured approach for corporate and clinical staff to work together with patient representatives as cross-functional teams. This participative approach facilitated communication and learning between stakeholders about care processes and personal preferences. Lean 3P therefore appears to be a promising approach to improving the healthcare facilities design process to meet user requirements. |
format | Online Article Text |
id | pubmed-4949607 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | British Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-49496072016-08-04 The Participative Design of an Endoscopy Facility using Lean 3P Smith, Iain BMJ Qual Improv Rep BMJ Quality Improvement Programme In the UK, bowel cancer is the second largest cancer killer. Diagnosing people earlier can save lives but demand for endoscopies is increasing and this can put pressure on waiting times. To address this challenge, an endoscopy unit in North East England decided to improve their facilities to increase capacity and create environments that improve the experience of users. This presented a significant opportunity for step change improvement but also a problem in terms of creating designs that meet user requirements whilst addressing structural or space constraints. The Lean design process known as ‘3P' (standing for the production preparation process) was utilised as a participative design strategy to engage stakeholders in the design of the new department. This involved a time-out workshop (or 3P event) in which Lean and participative design tools were utilised to create an innovative design based on ‘point of delivery' (POD) principles. The team created a design that demonstrated an increase in treatment room capacity by 25% and bed capacity by 70% whilst reducing travel distance for patients by 25.8% and staff by 27.1%. This was achieved with an increase in available space of only 13%. The Lean 3P method provided a structured approach for corporate and clinical staff to work together with patient representatives as cross-functional teams. This participative approach facilitated communication and learning between stakeholders about care processes and personal preferences. Lean 3P therefore appears to be a promising approach to improving the healthcare facilities design process to meet user requirements. British Publishing Group 2016-03-03 /pmc/articles/PMC4949607/ /pubmed/27493744 http://dx.doi.org/10.1136/bmjquality.u208920.w3611 Text en © 2016, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions This is an open-access article distributed under the terms of the Creative Commons Attribution Non-commercial License, which permits use, distribution, and reproduction in any medium, provided the original work is properly cited, the use is non commercial and is otherwise in compliance with the license. See: http://creativecommons.org/licenses/by-nc/2.0/http://creativecommons.org/licenses/by-nc/2.0/legalcode |
spellingShingle | BMJ Quality Improvement Programme Smith, Iain The Participative Design of an Endoscopy Facility using Lean 3P |
title | The Participative Design of an Endoscopy Facility using Lean 3P |
title_full | The Participative Design of an Endoscopy Facility using Lean 3P |
title_fullStr | The Participative Design of an Endoscopy Facility using Lean 3P |
title_full_unstemmed | The Participative Design of an Endoscopy Facility using Lean 3P |
title_short | The Participative Design of an Endoscopy Facility using Lean 3P |
title_sort | participative design of an endoscopy facility using lean 3p |
topic | BMJ Quality Improvement Programme |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4949607/ https://www.ncbi.nlm.nih.gov/pubmed/27493744 http://dx.doi.org/10.1136/bmjquality.u208920.w3611 |
work_keys_str_mv | AT smithiain theparticipativedesignofanendoscopyfacilityusinglean3p AT smithiain participativedesignofanendoscopyfacilityusinglean3p |