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Improving ward level efficiency using a modified treatment room layout according to Lean methodologies.

Seamus Boyle1, Oisín Tyrrell2, Ailbhe Quigley2

  • 1Tallaght University Hospital Sligo, Sligo, F91 H684, Ireland. seamus.boyle@hotmail.com.

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Summary
This summary is machine-generated.

Standardizing ward treatment rooms with a Lean approach significantly improved efficiency for common medical tasks. This led to reduced equipment gathering times and less staff frustration.

Keywords:
LeanTreatment room

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Area of Science:

  • Healthcare Operations
  • Lean Management in Hospitals
  • Clinical Workflow Optimization

Background:

  • Standardized ward treatment rooms can enhance efficiency in routine medical procedures.
  • The study aimed to develop a standardized equipment layout using a Lean methodology.

Purpose of the Study:

  • To create a standardized layout for essential equipment in ward treatment rooms.
  • To improve efficiency and reduce task completion times for healthcare professionals.

Main Methods:

  • A standardized layout was designed for equipment used in venepuncture, intravenous cannulation (IVC), arterial blood gas sampling, urinary catheter insertion, and nasogastric tube insertion.
  • Stakeholder engagement included house officers (HO), nursing staff, store staff, and care attendants.
  • House officers were timed gathering equipment pre- and post-intervention, with feedback collected via questionnaires and Plan-Do-Study-Act cycles.

Main Results:

  • The intervention was implemented across 20 inpatient wards in 3 tertiary university teaching hospitals.
  • Mean time for equipment gathering for IVC decreased from 94.9 to 33.9 seconds (p < 0.0001).
  • Self-reported frustration among HO decreased from 54.9% to 4.5% (p < 0.0001), with a 62.3% reduction in needing assistance to locate equipment.

Conclusions:

  • Standardized treatment room layouts significantly improve efficiency for common ward-based tasks, saving over a minute per task.
  • Staff reported reduced frustration and fewer interruptions due to optimized and standardized treatment room layouts.