The impact of a lean rounding process in a pediatric intensive care unit

Critical Care Medicine

Volumn 40, Issue 2, 2012, Pages 608-617

  Vats, Atul ^a,b   Goin, Kristin H ^a   Villarreal, Monica C ^c   Yilmaz, Tuba ^c   Fortenberry, James D ^a,b   Keskinocak, Pinar ^c  

^a CHILDREN'S HEALTHCARE OF ATLANTA   (United States)

^b EMORY UNIVERSITY SCHOOL OF MEDICINE   (United States)

^c Georgia Institute of Technology   (United States)

Author keywords

efficiency; intensive care unit; patient care team; quality improvement; resources; rounding process

Indexed keywords

ARTICLE; HEALTH CARE DELIVERY; HEALTH CARE UTILIZATION; HOSPITAL ADMISSION; HOSPITAL DISCHARGE; HUMAN; INTENSIVE CARE UNIT; INTERPERSONAL COMMUNICATION; PATIENT CARE; PATIENT SATISFACTION; PHYSICIAN; PRIORITY JOURNAL; PROFESSIONAL PRACTICE; STANDARDIZATION; TIME;

ATTITUDE OF HEALTH PERSONNEL; CHILD; CHILD, PRESCHOOL; DECISION MAKING; FEMALE; HEALTH CARE COSTS; HOSPITALS, PEDIATRIC; HUMANS; INFANT; INTENSIVE CARE; INTENSIVE CARE UNITS, PEDIATRIC; MALE; OUTCOME ASSESSMENT (HEALTH CARE); PATIENT CARE TEAM; PHYSICIAN'S PRACTICE PATTERNS; PROGRAM EVALUATION; QUALITY CONTROL; RISK ASSESSMENT; TEACHING ROUNDS; TIME FACTORS; UNITED STATES; WORKFLOW;

EID: 84856136515     PISSN: 00903493     EISSN: 15300293     Source Type: Journal    
DOI: 10.1097/CCM.0b013e318232e2fc     Document Type: Article

References (20)

1. Durbin CG Jr: Team model: Advocating for the optimal method of care delivery in the intensive care unit. Crit Care Med 2006; 34: S12-S17
2. Pronovost PJ, Angus DC, Dorman T, et al: Physician staffing patterns and clinical outcomes in critically ill patients: A systematic review. JAMA 2002; 288:2151-2162
3. Koppel R, Metlay JP, Cohen A, et al: Role of computerized physician order entry systems in facilitating medication errors. JAMA 2005; 293:1197-1203
4. Stone WM, Smith BE, Shaft JD, et al: Impact of a computerized physician order-entry system. J Am Coll Surg 2009; 208:960-969
5. Yen K, Shane EL, Pawar SS, et al: Time motion study in a pediatric emergency department before and after computer physician order entry. Ann Emerg Med 2009; 53: 462-468
6. Accreditation Council of Graduate Medical Education: ACGME Duty Hours. Available at: http://www.acgme.org/acWebsite/dutyHours/ dh-Lang703.pdf. Accessed June 23, 2011
7. Gordon CR, Axelrad A, Alexander JB, et al: Care of critically ill surgical patients using the 80-hour Accreditation Council of Graduate Medical Education work-week guidelines: A survey of current strategies. Am Surg 2006; 72:497-499
8. Accreditation Council of Graduate Medical Education: Core Competencies. Available at: http://www.acgme.org/outcome/comp/ GeneralCompetenciesStandards21307.pdf. Accessed June 23, 2011
9. Chudgar SM, Cox CE, Que LG, et al: Current teaching and evaluation methods in critical care medicine: Has the Accreditation Council for Graduate Medical Education affected how we practice and teach in the intensive care unit? Crit Care Med 2009; 37:49-60
10. Vats A, Goin KH, Fortenberry JD: Lean analysis of a pediatric intensive care unit physician group rounding process to identify inefficiencies and opportunities for improvement. Pediatr Crit Care Med 2011; 12:415-421
11. Rutherford P, Lee B, Greiner A: Transforming Care at the Bedside, IHI Innovation Series White Paper. Boston, MA, Institute for Healthcare Improvement, 2004. Available at: http://www.IHI.org. Accessed September 30, 2011
12. Institute for Healthcare Improvement: Going Lean in Health Care. IHI Innovation Series White Paper. Cambridge, MA, Institute for Healthcare Improvement, 2005. Available at: http://www.IHI.org. Accessed September 30, 2011
13. White KP: A survey of data resources for simulating patient flows in healthcare delivery systems. Proceedings of the 2005 Winter Simulation Conference 2005; 104:926-935
14. Hung GR, Whitehouse SR, O'Neill C, et al: Computer modeling of patient flow in a pediatric emergency department using discrete event simulation. Pediatr Emerg Care 2007; 23:5-10
15. Ferrin DM, Miller MJ, McBroom DL: Maximizing hospital financial impact and emergency department through simulation. Proceedings of the 2007 Winter Simulation Conference 2007; 1-5:1545-1552
16. Helm JE, AhmadBeygi S, Van Oyen MP: Design and analysis of hospital admission control for operational effectiveness. Productions and Operations Management 2011; 20: 359-374
17. Bahensky JA, Roe J, Bolton R: Lean sigma-will it work for healthcare? J Healthc Inf Manag 2005; 19:39-44
18. Malhotra S, Jordan D, Shortliffe E, et al: Workflow modeling in critical care: Piecing together your own puzzle. J Biomed Inform 2007; 40:81-92
19. Bricon-Souf N, Renard JM, Beuscart R: Dynamic workflow model for complex activity in intensive care unit. Int J Med Inform 1999; 53:143-150
20. Dodek PM, Raboud J: Explicit approach to rounds in an ICU improves communication and satisfaction of providers. Intensive Care Med 2003; 29:1584-1588