Supply and Demand: Application of Lean Six Sigma methods to improve drug round efficiency and release nursing time

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dc.contributor.author Kieran, Maríosa
dc.contributor.author Cleary, Mary
dc.contributor.author De Brún, Aoife
dc.contributor.author Igoe, Aileen
dc.date.accessioned 2018-02-13T16:28:38Z
dc.date.copyright 2017 the Authors en
dc.date.issued 2017-10-01
dc.identifier.citation International Journal for Quality in Health Care en
dc.identifier.uri http://hdl.handle.net/10197/9225
dc.description.abstract Objective: To improve efficiency, reduce interruptions and reduce time taken to complete, and variability of, oral drug rounds during to release nurse time. Design: Lean Six Sigma methods were applied to improve drug round efficiency using a pre-post intervention design. Setting: A 20-bed orthopaedic ward in a large teaching hospital in Ireland. Participants: Pharmacy, nursing and quality improvement staff. Intervention(s): A multifaceted intervention was designed which included changes in processes related to drug trolley organisation and drug supply planning. A communications campaign aimed at reducing interruptions during nurse-led during rounds was also developed and implemented. Main Outcome Measure(s): Average number of interruptions, average drug round time and variation in time taken to complete drug round. Results: At baseline, the oral drug round took an average of 125 minutes. Following application of Lean Six Sigma methods, the average drug round time decreased by 51 minutes. The average number of interruptions per drug round was an average of 12 at baseline to 11 following intervention, with a 75% reduction in drug supply interruptions. Conclusions: Lean Six Sigma methodology was successfully employed to reduce interruptions and to reduce time taken to complete the oral drug round. This improvement was also sustained following re-location and re-design of the ward configuration. en
dc.language.iso en en
dc.publisher Oxford University Press en
dc.rights This is an un-refereed author version of an article published in Maríosa Kieran, Mary Cleary, Aoife De Brún, Aileen Igoe; Supply and demand: application of Lean Six Sigma methods to improve drug round efficiency and release nursing time, International Journal for Quality in Health Care, Volume 29, Issue 6, 1 October 2017, Pages 803–809, https://doi.org/10.1093/intqhc/mzx106 en
dc.subject Lean methods en
dc.subject Quality improvement en
dc.subject Medication delivery en
dc.subject Drug rounds en
dc.subject Efficiency en
dc.subject Workflow en
dc.title Supply and Demand: Application of Lean Six Sigma methods to improve drug round efficiency and release nursing time en
dc.title.alternative Improving drug round efficiency en
dc.type Journal Article en
dc.internal.authorcontactother aoife.debrun@ucd.ie
dc.status Peer reviewed en
dc.identifier.volume 29 en
dc.identifier.issue 6 en
dc.identifier.startpage 803 en
dc.identifier.endpage 809 en
dc.identifier.doi 10.1093/intqhc/mzx106
dc.neeo.contributor Kieran|Maríosa|aut|
dc.neeo.contributor Cleary|Mary|aut|
dc.neeo.contributor De Brún|Aoife|aut|
dc.neeo.contributor Igoe|Aileen|aut|
dc.date.embargo 2018-08-19
dc.internal.rmsid 774814679
dc.date.updated 2017-07-12T08:29:00Z
 Access to this item has been restricted by the copyright holder until: 2018-08-19

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