Beacon Hospital Beacon Court, Bracken Rd, Sandyford Business Park, Sandyford, D18 AK68 Dublin, Ireland.
UCD Centre for Interdisciplinary Research, Education & Innovation in Health Systems, School of Nursing, Midwifery & Health Systems UCD Health Sciences Centre, D04 V1W8 Dublin, Ireland.
Int J Environ Res Public Health. 2021 Nov 13;18(22):11946. doi: 10.3390/ijerph182211946.
The Health Service Executive Ireland model of care for elective surgery supports the delivery of elective surgical care in achieving both process and clinical outcomes. This project was conducted in the Orthopaedic Department. Following an outpatient consultation with an orthopaedic surgeon, patients who required surgical intervention were scheduled for their intervention by the administrative team. Prior to commencing this project, the average time from patient consultation to being scheduled for surgery on the hospital system was 62 h/2.58 days. A pre- and post-team-based intervention design employing Lean Six Sigma methodology was applied to redesign the process for scheduling elective orthopaedic surgery. The project was informed by collaborative, inclusive, and participatory stakeholder engagement. The goal was to streamline the scheduling process for elective orthopaedic surgery, with a target that 90% of surgeries are scheduled "right first time" within 48 h/two working days of the outpatient consultant appointment. The main outcome measures showed that 100% of orthopaedic surgeries were scheduled successfully within 2 days of outpatient appointment. Duplication in work between patient services and scheduling teams was eliminated and facilitated a reduction in unnecessary staff workload. This project highlights the importance of collaborative interdisciplinary stakeholder engagement in the redesigning of processes to achieve sustainable outcomes, and the findings have informed further improvements across the hospital's surgical scheduling system.
爱尔兰卫生服务执行局的择期手术护理模式支持实现手术护理的过程和临床结果。本项目在矫形外科开展。在与矫形外科医生进行门诊咨询后，需要手术干预的患者由行政团队为其安排手术。在开展该项目之前，患者从门诊咨询到在医院系统预约手术的平均时间为 62 小时/2.58 天。采用基于团队的精益六西格玛方法对择期矫形外科手术的安排流程进行了重新设计。该项目得到了协作、包容和参与式利益相关者的参与。其目标是简化择期矫形外科手术的安排流程，目标是 90%的手术在门诊顾问预约后 48 小时/两个工作日内“一次安排正确”。主要结果表明，100%的矫形外科手术在门诊预约后 2 天内成功安排。消除了患者服务和调度团队之间的工作重复，减少了不必要的员工工作量。该项目强调了在重新设计流程以实现可持续成果方面进行协作式跨学科利益相关者参与的重要性，研究结果为医院的手术调度系统的进一步改进提供了信息。
