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AORN J. 2014 Jan;99(1):147-59. doi: 10.1016/j.aorn.2013.10.008.

Surgical scheduling: a lean approach to process improvement.

Abstract

A large teaching hospital in the northeast United States had an inefficient, paper-based process for scheduling orthopedic surgery that caused delays and contributed to site/side discrepancies. The hospital's leaders formed a team with the goals of developing a safe, effective, patient-centered, timely, efficient, and accurate orthopedic scheduling process; smoothing the schedule so that block time was allocated more evenly; and ensuring correct site/side. Under the resulting process, real-time patient information is entered into a database during the patient's preoperative visit in the surgeon's office. The team found the new process reduced the occurrence of site/side discrepancies to zero, reduced instances of changing the sequence of orthopedic procedures by 70%, and increased patient satisfaction.

KEYWORDS:

Lean; orthopedic surgery; scheduling

PMID:
24369979
DOI:
10.1016/j.aorn.2013.10.008
[Indexed for MEDLINE]
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