Operation Note Transformation: The Application of Lean Six Sigma to Improve the Process of Documenting the Operation Note in a Private Hospital Setting

Clinical documentation is a key safety and quality risk, particularly at transitions of care where there is a higher risk of information being miscommunicated or lost. A surgical operation note (ON) is an essential medicolegal document to ensure continuity of patient care between the surgical operat...

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Autores principales:	Nicola Wolfe, Seán Paul Teeling, Marie Ward, Martin McNamara, Liby Koshy
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	operation notes patient safety documentation DMADV Medicine R
Acceso en línea:	https://doaj.org/article/0b08938b0f6c42d496019ca51be07508
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spelling	oai:doaj.org-article:0b08938b0f6c42d496019ca51be075082021-11-25T17:52:05ZOperation Note Transformation: The Application of Lean Six Sigma to Improve the Process of Documenting the Operation Note in a Private Hospital Setting10.3390/ijerph1822122171660-46011661-7827https://doaj.org/article/0b08938b0f6c42d496019ca51be075082021-11-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/22/12217https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601Clinical documentation is a key safety and quality risk, particularly at transitions of care where there is a higher risk of information being miscommunicated or lost. A surgical operation note (ON) is an essential medicolegal document to ensure continuity of patient care between the surgical operating team and other colleagues, which should be completed immediately following surgery. Incomplete operating surgeon documentation of the ON, in a legible and timely manner, impacts the quality of information available to nurses to deliver post-operative care. In the project site, a private hospital in Dublin, Ireland, the accuracy of completion of the ON across all surgical specialties was 20%. This project sought to improve the accuracy, legibility, and completeness of the ON in the Operating Room. A multidisciplinary team of staff utilised the Lean Six Sigma (LSS) methodology, specifically the Define/Measure/Analyse/Design/Verify (DMADV) framework, to design a new digital process application for documenting the ON. Post-introduction of the new design, 100% of the ONs were completed digitally with a corresponding cost saving of EUR 10,000 annually. The time to complete the ON was reduced by 30% due to the designed digital platform and mandatory fields, ensuring 100% of the document is legible. As a result, this project significantly improved the quality and timely production of the ON within a digital solution. The success of the newly designed ON process demonstrates the effectiveness of the DMADV in establishing a co-designed, value-adding process for post-operative surgical notes.Nicola WolfeSeán Paul TeelingMarie WardMartin McNamaraLiby KoshyMDPI AGarticleoperation notespatient safetydocumentationDMADVMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 12217, p 12217 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	operation notes patient safety documentation DMADV Medicine R
spellingShingle	operation notes patient safety documentation DMADV Medicine R Nicola Wolfe Seán Paul Teeling Marie Ward Martin McNamara Liby Koshy Operation Note Transformation: The Application of Lean Six Sigma to Improve the Process of Documenting the Operation Note in a Private Hospital Setting
description	Clinical documentation is a key safety and quality risk, particularly at transitions of care where there is a higher risk of information being miscommunicated or lost. A surgical operation note (ON) is an essential medicolegal document to ensure continuity of patient care between the surgical operating team and other colleagues, which should be completed immediately following surgery. Incomplete operating surgeon documentation of the ON, in a legible and timely manner, impacts the quality of information available to nurses to deliver post-operative care. In the project site, a private hospital in Dublin, Ireland, the accuracy of completion of the ON across all surgical specialties was 20%. This project sought to improve the accuracy, legibility, and completeness of the ON in the Operating Room. A multidisciplinary team of staff utilised the Lean Six Sigma (LSS) methodology, specifically the Define/Measure/Analyse/Design/Verify (DMADV) framework, to design a new digital process application for documenting the ON. Post-introduction of the new design, 100% of the ONs were completed digitally with a corresponding cost saving of EUR 10,000 annually. The time to complete the ON was reduced by 30% due to the designed digital platform and mandatory fields, ensuring 100% of the document is legible. As a result, this project significantly improved the quality and timely production of the ON within a digital solution. The success of the newly designed ON process demonstrates the effectiveness of the DMADV in establishing a co-designed, value-adding process for post-operative surgical notes.
format	article
author	Nicola Wolfe Seán Paul Teeling Marie Ward Martin McNamara Liby Koshy
author_facet	Nicola Wolfe Seán Paul Teeling Marie Ward Martin McNamara Liby Koshy
author_sort	Nicola Wolfe
title	Operation Note Transformation: The Application of Lean Six Sigma to Improve the Process of Documenting the Operation Note in a Private Hospital Setting
title_short	Operation Note Transformation: The Application of Lean Six Sigma to Improve the Process of Documenting the Operation Note in a Private Hospital Setting
title_full	Operation Note Transformation: The Application of Lean Six Sigma to Improve the Process of Documenting the Operation Note in a Private Hospital Setting
title_fullStr	Operation Note Transformation: The Application of Lean Six Sigma to Improve the Process of Documenting the Operation Note in a Private Hospital Setting
title_full_unstemmed	Operation Note Transformation: The Application of Lean Six Sigma to Improve the Process of Documenting the Operation Note in a Private Hospital Setting
title_sort	operation note transformation: the application of lean six sigma to improve the process of documenting the operation note in a private hospital setting
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/0b08938b0f6c42d496019ca51be07508
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Operation Note Transformation: The Application of Lean Six Sigma to Improve the Process of Documenting the Operation Note in a Private Hospital Setting

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