期刊
AORN JOURNAL
卷 99, 期 1, 页码 147-159出版社
ELSEVIER SCIENCE INC
DOI: 10.1016/j.aorn.2013.10.008
关键词
scheduling; orthopedic surgery; Lean
类别
A large teaching hospital in the northeast United States had an inefficient, paper-based process for scheduling orthopedic surgery that caused delays and contributed to site/side discrepancies. The hospital's leaders formed a team with the goals of developing a safe, effective, patient-centered, timely, efficient, and accurate orthopedic scheduling process; smoothing the schedule so that block time was allocated more evenly; and ensuring correct site/side. Under the resulting process, real-time patient information is entered into a database during the patient's preoperative visit in the surgeon's office. The team found the new process reduced the occurrence of site/side discrepancies to zero, reduced instances of changing the sequence of orthopedic procedures by 70%, and increased patient satisfaction. (C) AORN, Inc, 2014.
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