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Improving flow in the OR.

Charles Hubert Blouin-Delisle1, Renee Drolet1, Serge Gagnon1

  • 1CHU de Québec-Université Laval , Québec, Canada.

International Journal of Health Care Quality Assurance
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Lean projects significantly reduced recovery ward delays in surgical processes. This workflow improvement increased operating room efficiency without impacting patient care quality, demonstrating the value of administrative process optimization.

Keywords:
Business process re-engineering/patient focussed careCare pathwaysContinuous quality improvementLean thinkingProcess design

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Area of Science:

  • Healthcare Management
  • Process Improvement
  • Surgical Workflow Optimization

Background:

  • Administrative processes outside of surgical procedures can cause delays and impact patient care.
  • Optimizing workflow is crucial for improving operating room (OR) efficiency.

Purpose of the Study:

  • To enhance OR efficiency and reduce patient delays by improving administrative workflow processes.
  • To investigate the impact of Lean projects on surgical process efficiency, specifically focusing on recovery ward length of stay.

Main Methods:

  • Implementation of two Lean projects using Define, Measure, Analyse, Improve, Control (DMAIC) and Kaizen workshops in two hospitals.
  • Retrospective measurement of recovery ward output delay before and after project implementation for both inpatient and ambulatory post-operative contexts.

Main Results:

  • The Hôtel Dieu de Quebec (HDQ) Lean project reduced recovery ward wasted time by 62 minutes (68% reduction) and increased daytime admissions by 25%.
  • The Hôpital de l'Enfant Jesus (HEJ) Lean project decreased time spent in the recovery ward by 6 minutes (29% reduction).

Conclusions:

  • Process improvements in administrative tasks can significantly enhance OR flow and clinical pathways.
  • Comprehensive monitoring of the entire elective surgery patient journey is essential for optimizing efficiency.