Facilitating process changes in meal delivery and radiological testing to improve inpatient insulin timing using six sigma method

Quality Management in Health Care

Volumn 19, Issue 3, 2010, Pages 189-200

  Yamamoto, J Jay ^a   Malatestinic, Bill ^a   Lehman, Angela ^b,d   Juneja, Rattan ^c  

^a ELI LILLY AND COMPANY   (United States)

^b WISHARD HEALTH SERVICES   (United States)

^c INDIANA UNIVERSITY SCHOOL OF MEDICINE   (United States)

^d INDIANA UNIVERSITY   (United States)

Author keywords

insulin; Lean; Six Sigma

Indexed keywords

ANTIDIABETIC AGENT; INSULIN;

ARTICLE; DIABETES MELLITUS; DRUG ADMINISTRATION; EATING; GLUCOSE BLOOD LEVEL; HEALTH CARE QUALITY; HOSPITAL FOOD SERVICE; HOSPITAL PATIENT; HUMAN; ORGANIZATION AND MANAGEMENT; PILOT STUDY; RADIOLOGY DEPARTMENT; REPRODUCIBILITY; TIME; TOTAL QUALITY MANAGEMENT;

BLOOD GLUCOSE; DIABETES MELLITUS; DRUG ADMINISTRATION SCHEDULE; EATING; EFFICIENCY, ORGANIZATIONAL; FOOD SERVICE, HOSPITAL; HUMANS; HYPOGLYCEMIC AGENTS; INPATIENTS; INSULIN; PILOT PROJECTS; PROCESS ASSESSMENT (HEALTH CARE); RADIOLOGY DEPARTMENT, HOSPITAL; REPRODUCIBILITY OF RESULTS; TIME FACTORS; TOTAL QUALITY MANAGEMENT;

EID: 77954348414     PISSN: 10638628     EISSN: 15505154     Source Type: Journal    
DOI: 10.1097/QMH.0b013e3181eb137f     Document Type: Article

References (19)

1. Braithwaite SS, Robertson B, Mehrotra HP, McElveen LM, Thompson CL. Managing hyperglycemia in hospitalized patients. Clin Cornerstone. 2007;8(2):44-54.
2. Clement S, Braithwaite SS, Magee MF, et al. Management of diabetes and hyperglycemia in hospitals. Diabetes Care. 2004;27(2):553-591.
3. Hassan E. Hyperglycemia management in the hospital setting. Am J Health Syst Pharm. 2007;64(10)(suppl 6):S9-S14
4. The Joint Commission. Inpatient diabetes certification addendum. Management of the patient with diabetes in the inpa-tient setting. http://www.jointcommission.org/NR/rdonlyres/1F9B67C2-72A6-4DC3-A047- 15BEB394FE3C/0/DiabetesAddendum.pdf. Published May 26 2008. Accessed June 3, 2008.
5. Institute for Healthcare Improvement. 5 Million Lives Campaign: getting started kit: preventing harm from high-alert medications. Cambridge, MA: Institute for Healthcare Improvement. http://www.ihi.org. Published 2008. Accessed June 3, 2008.
6. Institute for Safe Medication Practices. ISMP's list of high-alert medications. http://www.ismp.org/Tools/highal ertmedications.pdf. Published 2008. Accessed May 7, 2008
7. Institute for Healthcare Improvement. IHI launches national campaign to reduce medical harm in U.S. hospitals, building on its landmark 100,000 Lives Campaign. http://www.ihi.org/NR/rdonlyres/A96E0639-A979-44F6-A0FF-20329E492F44/ 4230/5MillionLivespressreleaseupdatedDec26FINALFINAL. pdf. Published 2006. Accessed May 7, 2008.
8. Institute for Safe Medication Practices. ISMP medication safety alert! http://www.ismp.org/Newsletters/acutecare/articles/19990407.asp?ptr=y. Published April 7, 1999. Accessed May 7, 2008.
9. Yamamoto JJ, Abraham D, Malatestinic B. Improving insulin distribution and administration safety using Lean Six Sigma methodologies. Hosp Pharm. 2010;45(3):212-224.
10. Lewis R. Lean manufacturing. http://www.isixsigma.com/dictionary/Lean Manufacturing-116.htm. Published 2002. Accessed June 10, 2008.
11. George ML, Rowlands D, Kastle B. What is Lean Six Sigma? New York, NY: McGraw-Hill; 2004.
12. George ML, Rowlands D, Price M, Maxey J. The Lean Six Sigma Pocket Toolbook: A Quick Reference Guide to 100 Tools for Improving Process Quality Speed, and Complexity. New York, NY: McGraw-Hill; 2005.
13. Tonner C. Six Sigma. http://www.isixsigma.com/dictionary/Six Sigma-85.htm. Published 2003. Accessed June 10, 2008.
14. Young D. Six sigma black-belt pharmacist improves patient safety. Am J Health Syst Pharm. 2004;61:1988-1996.
15. Fairbanks CB. Using Six Sigma and lean methodologies to improve OR throughput. AORN J. 2007;86(1):73-82.
16. Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-deliver pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-324.
17. Chan ALF. Use of Six Sigma to improve pharmacist dispensing errors at an outpatient clinic. Am J Med Qual. 2004;19:128-131.
18. Sunyog M. Lean management and Six-Sigma yield big gains in hospital's immediate response laboratory. Quality improvement techniques save more than $400,000. Clin Leadersh Manag Rev. 2004;18(5):255-258.
19. iSixSigma.com. DMAIC. http://www.isixsigma.com/dictionary/DMAIC-57.htm. Published 2003. Accessed June 10, 2008.