Use of lean and six sigma methodology to improve operating room efficiency in a high-volume tertiary-care academic medical center

Journal of the American College of Surgeons

Volumn 213, Issue 1, 2011, Pages 83-92

  Cima, Robert R ^a   Brown, Michael J ^a   Hebl, James R ^a   Moore, Robin ^b   Rogers, James C ^b   Kollengode, Anantha ^b   Amstutz, Gwendolyn J ^a   Weisbrod, Cheryl A ^a   Narr, Bradly J ^a   Deschamps, Claude ^a  

^a Mayo Clinic   (United States)

^b MAYO CLINIC   (United States)

Author keywords

Gen CRS; general and colorectal surgery; general thoracic surgery; GYN; gynecologic oncology surgery; Lean and Six Sigma methodologies; LSS; Mayo Clinic, Rochester; MCR; operating room; OR; RMH; Rochester Methodist Hospital; SPI; surgical process improvement; TS

Indexed keywords

ARTICLE; HEALTH CARE QUALITY; HOSPITAL MANAGEMENT; LEAN AND SIX SIGMA METHODOLOGY; MEDICAL AUDIT; MEDICAL STAFF; METHODOLOGY; OPERATING ROOM; OPERATION DURATION; PREOPERATIVE EVALUATION; PRIORITY JOURNAL; SURGICAL TECHNIQUE; TERTIARY HEALTH CARE;

ACADEMIC MEDICAL CENTERS; EFFICIENCY, ORGANIZATIONAL; HUMANS; OPERATING ROOMS; PERIOPERATIVE CARE; PROCESS ASSESSMENT (HEALTH CARE); QUALITY IMPROVEMENT; SPECIALTIES, SURGICAL; TOTAL QUALITY MANAGEMENT;

EID: 79959494197     PISSN: 10727515     EISSN: 18791190     Source Type: Journal    
DOI: 10.1016/j.jamcollsurg.2011.02.009     Document Type: Article

References (21)

1. D.M. Friedman, S.M. Sokal, Y. Chang, and D.L. Berger Increasing operating room efficiency through parallel processing Ann Surg 243 2006 10 14 (Pubitemid 43054048)
2. M. Harder, M.A. Malangoni, S. Weight, and T. Sidhu Improving operating room efficiency through process redesign Surgery 140 2006 509 514
3. J.E. Stahl, W.S. Sandberg, and B. Daily Reorganizing patient care and workflow in the operating room: a cost-effectiveness study Surgery 139 2006 717 728 (Pubitemid 43902915)
4. S.M. Sokal, D.L. Craft, and Y. Chang Maximizing operating and recovery room capacity in an era of constrained resources Arch Surg 141 2006 389 393
5. M.P. Smith, W.S. Sandberg, and J. Foss High-throughput operating room system for joint arthroplasties durably outperform routine processes Anesthesiology 109 2008 25 35
6. R. McDaniel, and H.J. Lanham Evidence as a tool for managerial action: a complex adaptive systems view Health Care Manag Rev 34 2009 216 218
7. E.D. Arnheiter, and J. Maleyeff Research and concepts: the integration of lean management and Six Sigma TQM Mag 2005 17518
8. J.R. Hackman, and R. Wageman Total quality management: empirical, conceptual, and practical issues Adm Sci Q 40 1995 309 342
9. T. Ohno Toyota production system: beyond large-scale production 1988 Productivity Press New York
10. S.A. Schweikhart, and A.E. Dembe The applicability of Lean and Six Sigma techniques to clinical and translational research J Invest Med 57 2009 748 755
11. T. Bendell A review and comparison of Six Sigma and the Lean organization TQM Mag 18 2006 255 262 (Pubitemid 43781551)
12. S.L. Hunter The Toyota Production System applied to the upholstery furniture manufacturing industry Mater Manufact Proc 23 2008 629 634
13. F. Wang, and K. Chen Applying Lean Six Sigma and TRIZ methodology in banking services TQM Mag 21 2010 301 315
14. L. Smith Six sigma goes to Washington: public agencies from the Navy to city governments, improve quality Quality Digest Magazine www.Qualitydigest.com Accessed September 29, 2010
15. K. Stuenkel, and T. Faulkner A community hospital's journey into Lean Six Sigma Front Health Services Manage 26 2009 5 13
16. G.C. Niemeijer, A. Trip, and K.T.B. Ahaus Quality in trauma care: improving the discharge procedure of patients by means of Lean Six Sigma J Trauma 69 2010 614 619
17. J.L. DelliFraine, J.R. Langabeer, and I.M. Nembhard Assessing the evidence of Six Sigma and Lean in the health care industry Q Manage Health Care 19 2010 211 225
18. R.R. Cima, C. Hale, and A. Kollengode surgical case listing accuracy: failure analysis at a high-volume academic medical center Arch Surg 145 2010 641 646
19. R. Hanss, B. Buttgereit, and P.H. Tonner Overlapping induction of anesthesia: an analysis of benefits and costs Anesthesiology 103 2005 391 400 (Pubitemid 41076737)
20. R. Adams, P. Warner, B. Hubbard, and T. Goulding Decreasing turnaround time between general surgery cases JONA 34 2004 140 148 (Pubitemid 38380970)
21. C.B. Fairbanks Using Six Sigma and Lean methodologies to improve OR throughput AORN J 86 2007 73 82