Asunto(s)
Mejoramiento de la Calidad/organización & administración , Integración de Sistemas , Gestión de la Calidad Total/organización & administración , Humanos , Liderazgo , Evaluación de Procesos y Resultados en Atención de Salud , Seguridad del Paciente , Administración de la Seguridad , Compromiso LaboralRESUMEN
Heart failure (HF) patients have high 30-day readmission rates with high costs and poor quality of life. This study investigated the impact of a framework blending Lean Sigma, design thinking, and Lean Startup on 30-day all-cause readmissions among HF patients. This was a prospective study in an academic hospital in Baltimore, Maryland. Thirty-day all-cause readmission was assessed using the hospital's electronic medical record. The baseline readmission rate for HF was 28.4% in 2010 with 690 discharges. The framework was developed and interventions implemented in the second half of 2011. The impact of the interventions was evaluated through 2012. The rate declined to 18.9% among 703 discharges (P < .01). There was no significant change for non-HF readmissions. This study concluded that methodologies from technology and manufacturing companies can reduce 30-day readmissions in HF, demonstrating the potential of this innovations framework to improve chronic disease care.
Asunto(s)
Insuficiencia Cardíaca/terapia , Readmisión del Paciente/estadística & datos numéricos , Mejoramiento de la Calidad , Anciano , Registros Electrónicos de Salud , Femenino , Humanos , Comunicación Interdisciplinaria , Tiempo de Internación/estadística & datos numéricos , Masculino , Educación del Paciente como Asunto , Estudios Prospectivos , Factores de RiesgoRESUMEN
This article describes how anesthesiologists can lead innovation and process improvement focused on regulated medical waste reduction and cost savings using a process improvement methodology known as Lean Sigma.
