The Use of Lean Six Sigma for Improving Availability of and Access to Emergency Department Data to Facilitate Patient Flow

The aim of this study was to redesign an emergency department [ED] data management system to improve the availability of, and access to, data to facilitate patient flow. A pre-/post-intervention design was employed using Lean Six Sigma methodology with a focus on the voice of the customer, Gemba, an...

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Autores principales:	Ailish Daly, Seán Paul Teeling, Marie Ward, Martin McNamara, Ciara Robinson
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	emergency department length of stay patient flow data analysis Lean Six Sigma Medicine R
Acceso en línea:	https://doaj.org/article/5409a9c9a73f4977a302dc3bb908e63b
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spelling	oai:doaj.org-article:5409a9c9a73f4977a302dc3bb908e63b2021-11-11T16:11:04ZThe Use of Lean Six Sigma for Improving Availability of and Access to Emergency Department Data to Facilitate Patient Flow10.3390/ijerph1821110301660-46011661-7827https://doaj.org/article/5409a9c9a73f4977a302dc3bb908e63b2021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11030https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601The aim of this study was to redesign an emergency department [ED] data management system to improve the availability of, and access to, data to facilitate patient flow. A pre-/post-intervention design was employed using Lean Six Sigma methodology with a focus on the voice of the customer, Gemba, and 5S to identify areas for improvement in ED data management processes and to inform solutions for improved ED patient flow processes. A multidisciplinary ED team includes medical consultants and registrars, nurses, patient service staff, radiology staff, as well as information technology and hospital management staff. Lean Six Sigma [LSS] diagnostic tools identified areas for improvement in the current process for data availability and access. A set of improvements were implemented to redesign the pathway for data collection in the ED to improve data availability and access. We achieved a reduction in the time taken to access ED patient flow data from a mean of 9 min per patient pre-intervention to immediate post-intervention. This enabled faster decision-making by the ED team related to patient assessment and treatment and informed improvements in patient flow. Optimizing patient flow through a hospital’s ED is a complex task involving collaboration and participation from multiple disciplines. Through the use of LSS methodology, we improved the availability of, and fast access to, accurate, current information regarding ED patient flow. This allows ED and hospital management teams to identify and rapidly respond to actions impacting patient flow.Ailish DalySeán Paul TeelingMarie WardMartin McNamaraCiara RobinsonMDPI AGarticleemergency departmentlength of staypatient flowdata analysisLean Six SigmaMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11030, p 11030 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	emergency department length of stay patient flow data analysis Lean Six Sigma Medicine R
spellingShingle	emergency department length of stay patient flow data analysis Lean Six Sigma Medicine R Ailish Daly Seán Paul Teeling Marie Ward Martin McNamara Ciara Robinson The Use of Lean Six Sigma for Improving Availability of and Access to Emergency Department Data to Facilitate Patient Flow
description	The aim of this study was to redesign an emergency department [ED] data management system to improve the availability of, and access to, data to facilitate patient flow. A pre-/post-intervention design was employed using Lean Six Sigma methodology with a focus on the voice of the customer, Gemba, and 5S to identify areas for improvement in ED data management processes and to inform solutions for improved ED patient flow processes. A multidisciplinary ED team includes medical consultants and registrars, nurses, patient service staff, radiology staff, as well as information technology and hospital management staff. Lean Six Sigma [LSS] diagnostic tools identified areas for improvement in the current process for data availability and access. A set of improvements were implemented to redesign the pathway for data collection in the ED to improve data availability and access. We achieved a reduction in the time taken to access ED patient flow data from a mean of 9 min per patient pre-intervention to immediate post-intervention. This enabled faster decision-making by the ED team related to patient assessment and treatment and informed improvements in patient flow. Optimizing patient flow through a hospital’s ED is a complex task involving collaboration and participation from multiple disciplines. Through the use of LSS methodology, we improved the availability of, and fast access to, accurate, current information regarding ED patient flow. This allows ED and hospital management teams to identify and rapidly respond to actions impacting patient flow.
format	article
author	Ailish Daly Seán Paul Teeling Marie Ward Martin McNamara Ciara Robinson
author_facet	Ailish Daly Seán Paul Teeling Marie Ward Martin McNamara Ciara Robinson
author_sort	Ailish Daly
title	The Use of Lean Six Sigma for Improving Availability of and Access to Emergency Department Data to Facilitate Patient Flow
title_short	The Use of Lean Six Sigma for Improving Availability of and Access to Emergency Department Data to Facilitate Patient Flow
title_full	The Use of Lean Six Sigma for Improving Availability of and Access to Emergency Department Data to Facilitate Patient Flow
title_fullStr	The Use of Lean Six Sigma for Improving Availability of and Access to Emergency Department Data to Facilitate Patient Flow
title_full_unstemmed	The Use of Lean Six Sigma for Improving Availability of and Access to Emergency Department Data to Facilitate Patient Flow
title_sort	use of lean six sigma for improving availability of and access to emergency department data to facilitate patient flow
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/5409a9c9a73f4977a302dc3bb908e63b
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The Use of Lean Six Sigma for Improving Availability of and Access to Emergency Department Data to Facilitate Patient Flow

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