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Use of lean principals to improve flow of patients with fractured neck of femur - the HOPE Study
McNamara, R Butler, A CBaker, C Mullen, J Lenehan, B Grimes, S O’Donoghue, H Evans, P Liston, M Cummins, F
McNamara, R
Butler, A
CBaker, C
Mullen, J
Lenehan, B
Grimes, S
O’Donoghue, H
Evans, P
Liston, M
Cummins, F
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Date
2014-03
Date Submitted
Keywords
Other Subjects
NECK OF FEMUR
CARE PATHWAY
WORKFLOWS
CARE PATHWAY
WORKFLOWS
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Start Date
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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.
Language
en