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Applying lean methodology to improve parenteral chemotherapy and monoclonal antibody documentation processes based on
Lorna Marie West1, Alison Brincat2, Mark Mercieca2
1Department of Clinical Pharmacology and Therapeutics, Faculty of Medicine and Surgery, University of Malta, Msida, Malta.
Summary
Lean thinking reduced chemotherapy documentation time by 37%, saving 122 minutes daily. This approach streamlines processes by eliminating non-value-added steps, improving efficiency in pharmaceutical preparation.
Area of Science:
- Healthcare Management
- Process Improvement
- Oncology Pharmacy
Background:
- Documentation for parenteral chemotherapy and monoclonal antibody preparation is time-intensive.
- Optimizing preparation workflows is crucial for efficient cancer treatment delivery.
Purpose of the Study:
- To assess the impact of lean thinking on the time required for chemotherapy/monoclonal antibody documentation.
- To identify and eliminate time-wasting steps in the documentation process.
Main Methods:
- Utilized Normalisation Process Theory (NPT) through focus groups with pharmacists and technicians.
- Applied lean thinking tools to map and analyze the value stream of the documentation process.
- Measured time at critical points before and after implementing changes to minimize waste.
Main Results:
- Identified critical time sinks in searching patient records, generating labels, and creating worksheets.
- Achieved a 37% reduction in daily documentation time, saving an average of 122 minutes per day.
- An audit revealed documentation process deficiencies, with corrective actions proposed.
Conclusions:
- Lean thinking effectively eliminated non-value-added steps, reducing documentation time waste.
- Normalisation Process Theory can be integrated into strategic systems to reduce waste in pharmaceutical processes.
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