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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...

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Autores principales: Weigel, Wade Anthony, Gluck, Michael, Ross, Andrew S, Lin, Otto S, Williams, Barbara L, Blackmore, Craig C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2018
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.
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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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