Using Six Sigma to Reduce the Utilization of Continuous Observations (1: 1) for Safety Precautions

Area of Science:

• Healthcare Management
• Patient Safety
• Process Improvement

Background:

• Continuous observation (1:1) for patient safety is resource-intensive due to variable needs.
• Inconsistent staffing for safety observation leads to hospital cost strain and resource allocation challenges.

Purpose of the Study:

• To optimize the assignment, monitoring, and discontinuation of safety 1:1 care for non-suicidal patients.
• To reduce the duration and cost associated with continuous patient observation.

Main Methods:

• A multidisciplinary team utilized Six Sigma methodologies to analyze and improve safety 1:1 care processes.
• Implemented a standardized weaning process and a 4-hour reassessment protocol with a behavior observation-tracking tool.

Main Results:

• Reduced average monthly safety 1:1 staffing hours by 25.6%.
• Achieved an estimated annual savings of $142,000 across six units.
• Integrated the observation tool and reassessment into the electronic medical record for enhanced tracking.

Conclusions:

• Standardized processes and tools effectively reduce continuous observation duration and associated costs.
• Optimized staffing for safety 1:1 care improves resource allocation and hospital financial performance.
• Electronic health record integration enhances the sustainability and efficiency of safety observation protocols.