Lean techniques to improve the flow of critically ill patients in a health region with its epicenter in the intensive care unit of a reference hospital;Técnicas «Lean» para la mejora del flujo de los pacientes críticos de una región sanitaria con epicentro en el servicio de medicina intensiva de un hospital de referencia

Medicina Intensiva

Volumn 40, Issue 5, 2016, Pages 266-272

  Sirvent, J M ^a   Gil, M ^b   Alvarez, T ^a   Martin, S ^a   Vila, N ^a   Colomer, M ^a   March, E ^a   Loma Osorio, P ^a   Metje, T ^a  

^a HOSPITAL JOSEP TRUETA   (Spain)

^b Actio Consulting   (Spain)

Author keywords

Critically ill process; Intensive care unit; Lean; Patient flow; Professional satisfaction

Indexed keywords

ARTICLE; CONTROLLED STUDY; CRITICALLY ILL PATIENT; DEMOGRAPHY; HEALTH CARE SYSTEM; HOSPITAL BED; HOSPITAL DISCHARGE; HOSPITAL INFECTION; HOSPITAL PATIENT; HOSPITAL READMISSION; HUMAN; INTENSIVE CARE UNIT; LEAN TECHNIQUE; LENGTH OF STAY; OBSERVATIONAL STUDY; PATIENT TRANSPORT; QUESTIONNAIRE; SATISFACTION; THERAPY DELAY; CRITICAL ILLNESS; FEMALE; HEALTH CARE FACILITY; HOSPITAL BED UTILIZATION; MALE; ORGANIZATION AND MANAGEMENT; PATIENT REFERRAL; SPAIN; STATISTICS AND NUMERICAL DATA; TERTIARY CARE CENTER;

BED OCCUPANCY; CRITICAL ILLNESS; FEMALE; HUMANS; INTENSIVE CARE UNITS; LENGTH OF STAY; MALE; PATIENT DISCHARGE; PATIENT TRANSFER; PATIENTS' ROOMS; REFERRAL AND CONSULTATION; SPAIN; TERTIARY CARE CENTERS;

EID: 84964982107     PISSN: 02105691     EISSN: 15786749     Source Type: Journal    
DOI: 10.1016/j.medin.2015.08.005     Document Type: Article

References (15)

1. Holden R.J. Lean thinking in emergency departments: A critical review. Ann Emerg Med 2011, 57:265-278.
2. Kimsey D.B. Lean methodology in health care. AORN J 2010, 92:53-60.
3. Dart R.C. Can lean thinking transform American health care. Ann Emerg Med 2011, 57:279-281.
4. Chan H., Lo S., Lee L., Lo W., Yu W., Wu Y., et al. Lean techniques for the improvement of patients' flow in emergency department. World J Emerg Med 2014, 5:24-28.
5. Graban M. Lean hospitals: Improving quality, patient safety and employee satisfaction 2009, CRC Press, London.
6. Plsek P.E. Accelerating health care transformation with Lean and innovation: The Virginia Mason experience 2013, CRC Press. 1st ed.
7. Taylor I., Baker M., Mitchell A., Jones D. Making hospitals work: How to improve patient care while saving everyone's time and hospitals 2009, Londres: LEI Inc.
8. Colmenero M. The ritual of the lack of beds. Med Intensiva 2011, 35:139-142.
9. Silich S.J., Wetz R.V., Riebling N., Coleman C., Khoueiry G., Abi Rafeh N., et al. Using Six Sigma methodology to reduce patient transfer times from floor to critical-care beds. J Healthc Qual 2012, 34:44-54.
10. Curtis J.R., Cook D.J., Wall R.J., Angus D.C., Bion J., Kacmarek R., et al. Intensive care unit quality improvement: A how-to guide for the interdisciplinary team. Crit Care Med 2006, 34:211-218.
11. Bynes M.C., Schuerer D.J., Schallom M.E., Sona C.S., Mazuski J.E., Taylor B.E., et al. Implementation of a mandatory checklist of protocols and objetives improves compliance with a wide range of evidence-based intensive care unit practices. Crit Care Med 2009, 37:2775-2781.
12. Gordo F., Abella A. Intensive care unit without walls: Seeking patient safety by improving the efficiency of the system. Med Intensiva 2014, 38:438-443.
13. Wilcox M.E., Adhikari N.K. The effect of telemedicine in critically ill patients: Systematic review and meta-analysis. Crit Care 2012, 16:R127.
14. Winters B.D., Weaver S.J., Pfoh E.R., Yang T., Pham J.C., Dy S.M. Rapid response systems as a patient safety strategy: A systematic review. Ann Intern Med 2013, 158:417-425.
15. Martin Delgado M.C., Gordo-Vidal F. The quality and safety of intensive care medicine in Spain. More than just words. Med Intensiva 2011, 35:201-205.