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Using Lean Six Sigma to Improve Controlled Drug Processes and Release Nursing Time.
Maria Creed1, Michelle McGuirk, Ruth Buckley
1Pharmacy Department (Ms Creed), Transformation Office (Ms McGuirk), and Quality and Patient Safety Department (Ms Buckley), Mater Misericordiae University Hospital, Dublin, Ireland; School of Nursing, Midwifery and Health Systems, University College Dublin, Ireland (Dr De Brún); National Leadership and Innovation Centre for Nursing and Midwifery, Office of the Nursing and Midwifery Services Director, Health Service Executive, Dublin, Ireland (Ms Kilduff).
Streamlining hospital drug processes significantly reduced nurse journeys to the pharmacy by 44%. This efficiency improvement freed up valuable nursing time, demonstrating the impact of interprofessional collaboration on healthcare operations.
Area of Science:
- Healthcare Management
- Process Improvement
- Nursing Workflow Optimization
Background:
- Hospital controlled drug processes often prioritize regulatory compliance over operational efficiency.
- Existing drug ordering systems were inefficient, leading to an average of 17 daily nurse trips to the pharmacy.
Purpose of the Study:
- To reduce nurse journeys to the pharmacy by 25% through process redesign.
- To improve the efficiency of controlled drug distribution and release nursing time.
Main Methods:
- A pre-/postintervention study design utilizing Lean Six Sigma methodologies.
- Implementation of a multifaceted intervention including process redesign and enhanced porter delivery service.
Main Results:
- A statistically significant 44% reduction in nurse journeys to the pharmacy for drug collections was achieved.
- The observed reduction in journeys was sustained for at least 18 months post-intervention.
Conclusions:
- Interprofessional collaboration is key to optimizing hospital-wide processes.
- Improving drug distribution systems can lead to substantial gains in nursing time and efficiency.
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