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

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    Authors
    McNamara, R
    Butler, A
    CBaker, C
    Mullen, J
    Lenehan, B
    Grimes, S
    O’Donoghue, H
    Evans, P
    Liston, M
    Cummins, F
    Condon, F
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    Issue Date
    2014-03
    Local subject classification
    NECK OF FEMUR
    CARE PATHWAY
    WORKFLOWS
    
    Metadata
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    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)
    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
    Collections
    University Hospitals Limerick

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