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Irish medical journal · Mar 2014
Use of lean principals to improve flow of patients with fractured neck of femur--the HOPE study.
- R McNamara, A Butler, C Baker, J Mullen, B Lenehan, S Grimes, H O'Donoghue, P Evans, M Liston, F Cummins, and F Condon.
- Ir Med J. 2014 Mar 1;107(3):70-2.
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.
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