Use of lean principals to improve flow of patients with fractured neck of femur - the HOPE Study

Hdl Handle:
http://hdl.handle.net/10147/315235
Title:
Use of lean principals to improve flow of patients with fractured neck of femur - the HOPE Study
Authors:
McNamara, R; Butler, A; CBaker, C; Mullen, J; Lenehan, B; Grimes, S; O’Donoghue, H; Evans, P; Liston, M; Cummins, F; Condon, F
Citation:
McNamara, R [et. al]. Use of lean principals to improve flow of patients with fractured neck of femur - the HOPE Study. Irish Medical Journal. March 2014 107 (3)
Publisher:
Irish Medical Journal (IMJ)
Journal:
Irish Medical Journal (IMJ)
Issue Date:
Mar-2014
URI:
http://hdl.handle.net/10147/315235
Abstract:
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.
Item Type:
Article
Language:
en
Local subject classification:
NECK OF FEMUR; CARE PATHWAY; WORKFLOWS

Full metadata record

DC FieldValue Language
dc.contributor.authorMcNamara, Ren_GB
dc.contributor.authorButler, Aen_GB
dc.contributor.authorCBaker, Cen_GB
dc.contributor.authorMullen, Jen_GB
dc.contributor.authorLenehan, Ben_GB
dc.contributor.authorGrimes, Sen_GB
dc.contributor.authorO’Donoghue, Hen_GB
dc.contributor.authorEvans, Pen_GB
dc.contributor.authorListon, Men_GB
dc.contributor.authorCummins, Fen_GB
dc.contributor.authorCondon, Fen_GB
dc.date.accessioned2014-04-03T13:16:04Z-
dc.date.available2014-04-03T13:16:04Z-
dc.date.issued2014-03-
dc.identifier.citationMcNamara, R [et. al]. Use of lean principals to improve flow of patients with fractured neck of femur - the HOPE Study. Irish Medical Journal. March 2014 107 (3)en_GB
dc.identifier.urihttp://hdl.handle.net/10147/315235-
dc.description.abstractWe 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.en_GB
dc.language.isoenen
dc.publisherIrish Medical Journal (IMJ)en_GB
dc.subject.otherNECK OF FEMURen_GB
dc.subject.otherCARE PATHWAYen_GB
dc.subject.otherWORKFLOWSen_GB
dc.titleUse of lean principals to improve flow of patients with fractured neck of femur - the HOPE Studyen_GB
dc.typeArticleen
dc.identifier.journalIrish Medical Journal (IMJ)en_GB
dc.description.fundingNo fundingen
dc.description.provinceLeinsteren
dc.description.peer-reviewpeer-reviewen
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