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Process improvement for a complex dual medical procedure
Pancreatic extracorporeal shock wave lithotripsy followed by endoscopic retrograde cholangiopancreatography is accepted worldwide as a treatment for a large, symptomatic, obstructing pancreatic stones. However, timely completion of the combined process requires coordination of equipment and personne...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6112392/ https://www.ncbi.nlm.nih.gov/pubmed/30167473 http://dx.doi.org/10.1136/bmjoq-2017-000273 |
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author | Weigel, Wade Anthony Gluck, Michael Ross, Andrew S Lin, Otto S Williams, Barbara L Blackmore, Craig C |
author_facet | Weigel, Wade Anthony Gluck, Michael Ross, Andrew S Lin, Otto S Williams, Barbara L Blackmore, Craig C |
author_sort | Weigel, Wade Anthony |
collection | PubMed |
description | Pancreatic extracorporeal shock wave lithotripsy followed by endoscopic retrograde cholangiopancreatography is accepted worldwide as a treatment for a large, symptomatic, obstructing pancreatic stones. However, timely completion of the combined process requires coordination of equipment and personnel from two different complex procedures. We used Lean management tools in a week-long event to redesign the process around the patient. Using idea-generated Plan Do Study Act cycles to refine the process, from scheduling to postprocedure recovery, equipment and personnel were aligned to allow these two procedures to occur in immediate succession. The redesigned process resulted in all patients receiving both procedures without delay. This eliminated over 8 hours of wait time. Standard work and a newly created complex scheduler improved flow. We reduced the number of anaesthetics for patients without prolonging the procedure length. |
format | Online Article Text |
id | pubmed-6112392 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-61123922018-08-30 Process improvement for a complex dual medical procedure Weigel, Wade Anthony Gluck, Michael Ross, Andrew S Lin, Otto S Williams, Barbara L Blackmore, Craig C BMJ Open Qual BMJ Quality Improvement report Pancreatic extracorporeal shock wave lithotripsy followed by endoscopic retrograde cholangiopancreatography is accepted worldwide as a treatment for a large, symptomatic, obstructing pancreatic stones. However, timely completion of the combined process requires coordination of equipment and personnel from two different complex procedures. We used Lean management tools in a week-long event to redesign the process around the patient. Using idea-generated Plan Do Study Act cycles to refine the process, from scheduling to postprocedure recovery, equipment and personnel were aligned to allow these two procedures to occur in immediate succession. The redesigned process resulted in all patients receiving both procedures without delay. This eliminated over 8 hours of wait time. Standard work and a newly created complex scheduler improved flow. We reduced the number of anaesthetics for patients without prolonging the procedure length. BMJ Publishing Group 2018-08-21 /pmc/articles/PMC6112392/ /pubmed/30167473 http://dx.doi.org/10.1136/bmjoq-2017-000273 Text en © Author(s) (or their employer(s)) 2018. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | BMJ Quality Improvement report Weigel, Wade Anthony Gluck, Michael Ross, Andrew S Lin, Otto S Williams, Barbara L Blackmore, Craig C Process improvement for a complex dual medical procedure |
title | Process improvement for a complex dual medical procedure |
title_full | Process improvement for a complex dual medical procedure |
title_fullStr | Process improvement for a complex dual medical procedure |
title_full_unstemmed | Process improvement for a complex dual medical procedure |
title_short | Process improvement for a complex dual medical procedure |
title_sort | process improvement for a complex dual medical procedure |
topic | BMJ Quality Improvement report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6112392/ https://www.ncbi.nlm.nih.gov/pubmed/30167473 http://dx.doi.org/10.1136/bmjoq-2017-000273 |
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