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精益的方法来提高内镜单元的效率在一个多个子专业的门诊外科中心:一个试点研究研究

Trilokesh D Kidambi¹, Harry Trieu², Brian Lilienstein³

¹Department of Medicine, Division of Gastroenterology, City of Hope National Medical Center, Duarte, USA.

|October 16, 2024

概括

在胃肠道 (GI) 内镜单位实施LEAN原则显著减少了患者等待时间和手术持续时间. 这项试点研究证明了LEAN方法论.

科学领域:

胃肠病学胃肠病学
医疗保健管理的管理
运营效率运营效率运营效率

背景情况:

提高胃肠道 (GI) 内镜装置的效率对于提高结肠癌查率至关重要.
简单的管理原则为增强内镜单位运营提供了一个潜在的框架.

研究的目的:

在GI内镜单位试点应用LEAN原则,以提高运营效率.
评估LEAN干预措施对关键绩效指标在门诊肠道内镜设置中的影响.

主要方法:

在一家医院的胃肠道内镜诊所进行了一项试点研究.
一个内镜医生,麻醉师和护士团队实施了基于LEAN的实践变化.
在干预前和干预后跟踪了效率指标.

主要成果:

观察到等待室时间 (p<0.001),康复室时间 (p=0.01) 和整体设施时间 (p<0.001) 的统计显著减少.
真正完成时间也显示在LEAN干预后显著下降 (p=0.002).
该研究表明,肠道内镜工作流程有可测量的改善.

结论:

系统地应用LEAN方法可以有效地提高GI内镜单元的运行效率.
精简原则为优化内镜工作流程提供了一种标准化的方法.
建议对更大规模的研究进行进一步的研究,以验证这些发现并扩大其适用性.

关键词:

麻醉用于上下GI的麻醉.胃肠病学和内镜检查提高了效率,提高了效率.精益的方法论精益的方法论过程和性能改进的过程和性能改进.

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