Use of lean principals to improve flow of patients with fractured neck of femur--the HOPE study.
نویسندگان
چکیده
We describe the implementation of a care pathway for patients with fractured neck of femur (NOF) using Lean and Six Sigma principles. After introduction of the Lean pathway, 32 patients out a total of 86 (37%) with fractured NOF were admitted to the Trauma Ward within 4 hours of presentation to the hospital; prior to implementation this was 16 patients out of a total of 59 (27%). Post-Lean an earlier mean theatre start time of 8.40am was achieved, resulting in a 38 minute increase in daily theatre time. An additional 52 patients (12%) received surgery within 24 hours of admission, resulting in 1 night length of stay reduction. Lean methodology proved an effective method to guide change resulting in an improved journey for the patient and significant workflow gains.
منابع مشابه
بررسی شیوع بیماری پوکی استخوان در بیماران مرد مبتلا به بیماری انسدادی مزمن ریه
Background & Aim: Osteoporosis is a significant problem in patients with advanced COPD(chronic obstructive pulmonary disease). It is followed by fractures which make life conditions worse for these patients. Several studies demonstrated the relationship between osteoporosis and COPD. This study was designed to determine the prevalence of osteoporosis in male patients with COPD. Patients & M...
متن کاملWhat is the risk of death or severe harm due to bone cement implantation syndrome among patients undergoing hip hemiarthroplasty for fractured neck of femur? A patient safety surveillance study
OBJECTIVE To estimate the risk of death or severe harm due to bone cement implantation syndrome (BCIS) among patients undergoing hip hemiarthroplasty for fractured neck of femur. SETTING Hospitals providing secondary and tertiary care throughout the National Health Service (NHS) in England and Wales. PARTICIPANTS Cases reported to the National Reporting and Learning System (NRLS) in which t...
متن کاملStudy on implementation of one-piece lean line design using simulation techniques: A practical approach
This paper discusses the simulation study carried out for proposing one-piece lean line layout with features of Lean Manufacturing. The lean initiatives that can be addressed are, introducing Kanban replenishment sys-tem, better work-in-process, changing the layout, visual management techniques, standardized work for the re-duction of cycle time, number of workers, number of setups. To improve ...
متن کاملEffects of Hip Geometry on Fracture Patterns of Proximal Femur
Background: Some studies have previously shown that geometry of proximal femur can affect the probability of fracture and type of fracture. It happens since the geometry of the proximal femur determines how a force is applied to its different parts. In this study, we have compared proximal femur’s geometric characteristics in femoral neck (FNF), intertrochanteric (ITF) and Subtrochanteric (ST...
متن کاملCathepsin K inhibitor, icariin, increases the healing potential and biomechanical properties of femoral neck in a mice fractured model
Cathepsin K inhibitors have been demonstrated to restore bone mass in both animal model and postmenopausal osteoporotic patients. In the present study, we performed to investigate the pharmacological effect of icariin in the healing potential and biomechanical properties of femoral neck in a mice fractured model. The results showed that the mRNA and protein expression of cathepsin K was markedl...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Irish medical journal
دوره 107 3 شماره
صفحات -
تاریخ انتشار 2014