RESUMEN
The treatment of ST-elevation myocardial infarction with primary percutaneous coronary intervention is a time-sensitive process, with outcomes correlated with the speed with which the healthcare team can make the diagnosis, start preliminary treatment, and successfully perform the intervention. This requires multidisciplinary teamwork involving Emergency Medical Services, Emergency Medicine and Nursing, the cardiac catheterization laboratory team, and interventional cardiology. The success of effectively delivering treatment is enhanced through focused analysis of key steps within the care process to identify systems problems and implement quality improvement initiatives. This article reviews the process whereby our institution achieved top decile performance in this multidisciplinary treatment.
Asunto(s)
Angioplastia Coronaria con Balón , Servicio de Urgencia en Hospital/organización & administración , Infarto del Miocardio/terapia , Grupo de Atención al Paciente/organización & administración , Garantía de la Calidad de Atención de Salud , Análisis de Varianza , Cateterismo Cardíaco , Electrocardiografía , Humanos , Infarto del Miocardio/diagnóstico , Factores de Tiempo , Resultado del TratamientoRESUMEN
Nonclinical healthcare processes are sometimes created on an ad hoc basis and hence over time may grow unnecessarily complex and difficult to assess, teach, improve, or transfer. Intentionally designing processes are more likely to yield an efficient and effective process. Originally developed in industry, Design for Six Sigma (DFSS) is a method for planning new processes applicable to healthcare. Benefits from using DFSS include well-defined process steps and documentation that makes processes easier to teach, monitor, control, and transfer to other units. We describe the DFSS process and provide an example of its application to an employee influenza vaccination program at a New England hospital.
Asunto(s)
Personal de Salud , Programas de Inmunización/estadística & datos numéricos , Gripe Humana/prevención & control , Eficiencia Organizacional , Hospitales Filantrópicos/organización & administración , Humanos , Programas de Inmunización/organización & administración , New England , Estudios de Casos Organizacionales , Transferencia de TecnologíaRESUMEN
Healthcare, as with any other service operation, requires systematic innovation efforts to remain competitive, cost efficient, and up-to-date. This article outlines a methodology and presents examples to illustrate how principles of Lean Thinking and Six Sigma can be combined to provide an effective framework for producing systematic innovation efforts in healthcare. Controlling healthcare cost increases, improving quality, and providing better healthcare are some of the benefits of this approach.
