Process improvement in the operating room using Toyota (Lean) methods
Abstract
Healthcare is in need of fundamental change if we are going to make significant improvements in outcomes while limiting costs. Lean methods, initially developed in the manufacturing industry, have been shown to deliver real improvements in quality, productivity, and safety while using fewer resources in healthcare service settings. These tools, management practices and philosophies have been successfully adapted in operative services at SC. They can transform your system and culture through engagement of frontline staff into a continuously improving service with real and sustainable enhancements in clinical outcomes.
References
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2. Institute of Medicine. Crossing the quality chasm: A new healthcare system for the 21st century. Washington, D.C: National Academy Press; 2000.
3. Pronovost P, Needham D, Berenholtz S, Sinopoli D, Chu H, Cosgrove S, et al. An intervention to decrease catheter-related blood stream infections in the ICU. New Eng J Med. 2006;355:2725-32.
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13. Reid RJ, Coleman K, Johnson EA, Fishman PA, Hsu C, Soman MP, et al. The Group Health medical home at year two: Cost savings, higher patient satisfaction, and less burnout for providers. Health Affairs. 2010;29:835-43.
14. Spear S. Fixing health care from the inside, today. Reprint R0509D. Harv Bus Rev. 2005;83:78-91.
15. Berwick DM, Hackbarth AD. Eliminating waste in US health care. JAMA. 2012;307:1513-6.
16. Rampersad SE, Martin LD. Ending the paper chase in the operating room. En: Wellman J, Hagan P, Jeffries H, editores. Leading the Lean Healthcare Journey. New York: CRC Press; 2011. p. 69-79.
17. Marhofer P, Ivani G, Suresh S, Melman E, Zaragoza G, Bosenberg A. Everyday regional anesthesia in children. Paediatr Anaesth. 2012;22:995-1001.
18. Pelly N, Zeallear B, Reed M, Martin L. Utilizing Integrated Facility Design (IFD) to Improve the quality of a pediatric ambulatory surgery center. Pediatr Anesth. 2013;23:634-8.
19. Tait AR, Tuttle DB. Prevention of perioperative infections: A survey of anesthesiology practice. Anesth Analg. 1995;80: 764-9.
20. Fukada T, Tachibana C, Tsukazak Y, Satoh K, Furuya Y, Ohe Y. Bacterial contamination of anesthesiologist hands and the efficacy of handwashing. Masui. 1996;45:1026-30.
21. Pittet D, Simon A, Hugonnet S, Pessoa-Silva CL, Sauvan V, Perneger TV. Hand hygiene among physicians: Performance, beliefs, and perceptions. Ann Intern Med. 2004;141: 1-8.
22. Yogaraj JS, Elward AM, Fraser VJ. Rate, risk factors, and outcomes of nosocomial primary bloodstream infections in pediatric intensive care unit patients. Pediatrics. 2002;110:481-5.
23. Loftus RW, Muffly MK, Brown JR, Beach ML, Koff MD, Corwin HL, et al. Hand contamination of anesthesia providers is an important risker factor for intraoperative bacterial transmission. Anesth Analg. 2011;112:98-105.
24. Loftus RW, Koff MD, Burchman CC, Schwartzman JD, Thorum V, Read ME, et al. Transmission of pathogenic bacterial organisms in the anesthesia work area. Anesthesiology. 2008;109:399-407.
25. Koff MD, Loftus RW, Burchman CC, Schwartzman JD, Read ME, Henry ES. Reduction in intraoperative bacterial contamination of peripheral intravenous tubing through the use of a novel device. Anesthesiology. 2009;110:978-85.
26. Martin LD, Rampersad SE, Geiduschek JM, Zerr DM, Weiss GK, Martin LD. Modification of anesthesia practice reduce catheter associated blood stream infections: A quality improvement initiative. Pediatr Anesth. 2013;23:588-96.
27. Joint Commission on Accreditation of Healthcare Organizations. Root causes of sentinel events (all categories; 2004-2012) [consultado 25 Mar 2013]. Disponible en: http://www.jointcommission.org/assets/1/18/Root_Causes_Event_Type-04_4Q2012.pdf.
28. Neily J, Mills PD, Young-Xu Y, Carney BT, Mazzia LM, Paull DE, et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 2010;304:1693-700.
29. Pronovost P. Interventions to decrease catheter-related blood stream infections in the ICU: The Keystone Intensive Care Unit Project. Am J Infect Control. 2008;36:e1-5. S171.
30. Degani A, Wiener EL. Cockpit checklists: Concepts, design, and use. Human Factors. 1993;35:345-59.
31. Low D, Walker I, Heitmiller G. Implementing checklists in the operating room. Pediatr Anesth. 2012;22:1025-31.
32. Low D, Reed M, Geiduschek J, Martin LD. Striving for a zero-error patient surgical journey through adoption of aviation-style challenge response flow checklists: A quality improvement project. Pediatr Anesth. 2013;23: 571-8.
2. Institute of Medicine. Crossing the quality chasm: A new healthcare system for the 21st century. Washington, D.C: National Academy Press; 2000.
3. Pronovost P, Needham D, Berenholtz S, Sinopoli D, Chu H, Cosgrove S, et al. An intervention to decrease catheter-related blood stream infections in the ICU. New Eng J Med. 2006;355:2725-32.
4. Brennan TA, Gawande A, Thomas E, Studdert D. Accidental deaths, saved lives, and improved quality. New Eng J Med. 2005;353:1405-9.
5. Leape LL, Berwick DM. Five years after 'To err is human': What have we learned? JAMA. 2005;293:2384-90.
6. Shortell SM, Singer SJ. Improving patient safety by taking systems seriously. JAMA. 2008;299:445-7.
7. Liker J. The Toyota way. New York: McGraw-Hill; 2003.
8. Graban M. Lean hospitals: Improving quality, patient safety and employee satisfaction. New York: CRC Press; 2009.
9. Toussaint J, Gerard RA. On the mend: Revolutionizing healthcare to save lives and transform the industry. Cambridge: Lean Enterprise Institute; 2010.
10 Wellman J, Hagan P, Jeffries H. Leading the Lean healthcare journey: Driving culture change to increase value. New York: Productivity Press; 2011.
11. Ohno T. Toyota production system: Beyond large-scale production. New York: Productivity Press; 1988.
12. Kenney C. Transforming health care: Virginia Mason Medical Center's pursuit of the perfect patient experience. New York: Productivity Press; 2011.
13. Reid RJ, Coleman K, Johnson EA, Fishman PA, Hsu C, Soman MP, et al. The Group Health medical home at year two: Cost savings, higher patient satisfaction, and less burnout for providers. Health Affairs. 2010;29:835-43.
14. Spear S. Fixing health care from the inside, today. Reprint R0509D. Harv Bus Rev. 2005;83:78-91.
15. Berwick DM, Hackbarth AD. Eliminating waste in US health care. JAMA. 2012;307:1513-6.
16. Rampersad SE, Martin LD. Ending the paper chase in the operating room. En: Wellman J, Hagan P, Jeffries H, editores. Leading the Lean Healthcare Journey. New York: CRC Press; 2011. p. 69-79.
17. Marhofer P, Ivani G, Suresh S, Melman E, Zaragoza G, Bosenberg A. Everyday regional anesthesia in children. Paediatr Anaesth. 2012;22:995-1001.
18. Pelly N, Zeallear B, Reed M, Martin L. Utilizing Integrated Facility Design (IFD) to Improve the quality of a pediatric ambulatory surgery center. Pediatr Anesth. 2013;23:634-8.
19. Tait AR, Tuttle DB. Prevention of perioperative infections: A survey of anesthesiology practice. Anesth Analg. 1995;80: 764-9.
20. Fukada T, Tachibana C, Tsukazak Y, Satoh K, Furuya Y, Ohe Y. Bacterial contamination of anesthesiologist hands and the efficacy of handwashing. Masui. 1996;45:1026-30.
21. Pittet D, Simon A, Hugonnet S, Pessoa-Silva CL, Sauvan V, Perneger TV. Hand hygiene among physicians: Performance, beliefs, and perceptions. Ann Intern Med. 2004;141: 1-8.
22. Yogaraj JS, Elward AM, Fraser VJ. Rate, risk factors, and outcomes of nosocomial primary bloodstream infections in pediatric intensive care unit patients. Pediatrics. 2002;110:481-5.
23. Loftus RW, Muffly MK, Brown JR, Beach ML, Koff MD, Corwin HL, et al. Hand contamination of anesthesia providers is an important risker factor for intraoperative bacterial transmission. Anesth Analg. 2011;112:98-105.
24. Loftus RW, Koff MD, Burchman CC, Schwartzman JD, Thorum V, Read ME, et al. Transmission of pathogenic bacterial organisms in the anesthesia work area. Anesthesiology. 2008;109:399-407.
25. Koff MD, Loftus RW, Burchman CC, Schwartzman JD, Read ME, Henry ES
26. Martin LD, Rampersad SE, Geiduschek JM, Zerr DM, Weiss GK, Martin LD. Modification of anesthesia practice reduce catheter associated blood stream infections: A quality improvement initiative. Pediatr Anesth. 2013;23:588-96.
27. Joint Commission on Accreditation of Healthcare Organizations. Root causes of sentinel events (all categories; 2004-2012) [consultado 25 Mar 2013]. Disponible en: http://www.jointcommission.org/assets/1/18/Root_Causes_Event_Type-04_4Q2012.pdf.
28. Neily J, Mills PD, Young-Xu Y, Carney BT, Mazzia LM, Paull DE, et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 2010;304:1693-700.
29. Pronovost P. Interventions to decrease catheter-related blood stream infections in the ICU: The Keystone Intensive Care Unit Project. Am J Infect Control. 2008;36:e1-5. S171.
30. Degani A, Wiener EL. Cockpit checklists: Concepts, design, and use. Human Factors. 1993;35:345-59.
31. Low D, Walker I, Heitmiller G. Implementing checklists in the operating room. Pediatr Anesth. 2012;22:1025-31.
32. Low D, Reed M, Geiduschek J, Martin LD. Striving for a zero-error patient surgical journey through adoption of aviation-style challenge response flow checklists: A quality improvement project. Pediatr Anesth. 2013;23: 571-8.
How to Cite
1.
Martin LD, Rampersad SE, Low DK, Reed MA. Process improvement in the operating room using Toyota (Lean) methods. Colomb. J. Anesthesiol. [Internet]. 2014 Jul. 1 [cited 2024 Apr. 23];42(3):220-8. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/686
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Published
2014-07-01
How to Cite
1.
Martin LD, Rampersad SE, Low DK, Reed MA. Process improvement in the operating room using Toyota (Lean) methods. Colomb. J. Anesthesiol. [Internet]. 2014 Jul. 1 [cited 2024 Apr. 23];42(3):220-8. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/686
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