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Structured syncope care pathways based on lean six sigma methodology optimises resource use with shorter time to diagnosis and increased diagnostic yield

Martens, Leon ; Goode, Grahame ; Wold, Johan F H ; Beck, Lionel ; Martin, Georgina ; Perings, Christian ; Stolt, Pelle ; Baggerman, Lucas Morgan, Daniel

PloS one, 2014-06, Vol.9 (6), p.e100208-e100208 [Periódico revisado por pares]

United States: Public Library of Science

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Título:
Structured syncope care pathways based on lean six sigma methodology optimises resource use with shorter time to diagnosis and increased diagnostic yield
Autor: Martens, Leon ; Goode, Grahame ; Wold, Johan F H ; Beck, Lionel ; Martin, Georgina ; Perings, Christian ; Stolt, Pelle ; Baggerman, Lucas
Morgan, Daniel
Assuntos: Analysis ; Best practice ; Change management ; Consciousness ; Critical Care - methods ; Critical Care - organization & administration ; Critical Care - standards ; Critical Pathways - organization & administration ; Critical Pathways - standards ; Diagnosis ; Diagnostic systems ; Diagnostic tests ; Early Diagnosis ; Efficiency, Organizational ; Emergency medical care ; Employees ; Europe ; Fainting ; Guideline Adherence - standards ; Guidelines ; Health Resources - standards ; Health Resources - utilization ; Hospitals ; Humans ; Interdisciplinary Communication ; Lean manufacturing ; Management ; Medical diagnosis ; Medicine and Health Sciences ; Methodology ; Methods ; Pathways ; Patient satisfaction ; Phase transitions ; Pilot Projects ; Quality Improvement - organization & administration ; Quality Improvement - standards ; Reduction ; Six Sigma ; Syncope ; Syncope - diagnosis ; Syncope - therapy ; Time Factors
É parte de: PloS one, 2014-06, Vol.9 (6), p.e100208-e100208
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Conceived and designed the experiments: LM LB. Performed the experiments: LM GG JFHW LB GM CP. Analyzed the data: LM. Wrote the paper: PS. Reviewed the manuscript: LM GG JFHW LB GM CP PS LB. Contributed analytic insights and interpretations: LM GG JFHW LB GM CP PS.
Competing Interests: Leon Martens and Lucas Baggerman are employees of Medtronic. The other authors have declared that no competing interests exist. This does not alter the authors' adherence to PLOS ONE policies on sharing data and materials.
Descrição: To conduct a pilot study on the potential to optimise care pathways in syncope/Transient Loss of Consciousness management by using Lean Six Sigma methodology while maintaining compliance with ESC and/or NICE guidelines. Five hospitals in four European countries took part. The Lean Six Sigma methodology consisted of 3 phases: 1) Assessment phase, in which baseline performance was mapped in each centre, processes were evaluated and a new operational model was developed with an improvement plan that included best practices and change management; 2) Improvement phase, in which optimisation pathways and standardised best practice tools and forms were developed and implemented. Staff were trained on new processes and change-management support provided; 3) Sustaining phase, which included support, refinement of tools and metrics. The impact of the implementation of new pathways was evaluated on number of tests performed, diagnostic yield, time to diagnosis and compliance with guidelines. One hospital with focus on geriatric populations was analysed separately from the other four. With the new pathways, there was a 59% reduction in the average time to diagnosis (p = 0.048) and a 75% increase in diagnostic yield (p = 0.007). There was a marked reduction in repetitions of diagnostic tests and improved prioritisation of indicated tests. Applying a structured Lean Six Sigma based methodology to pathways for syncope management has the potential to improve time to diagnosis and diagnostic yield.
Editor: United States: Public Library of Science
Idioma: Inglês

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Structured syncope care pathways based on lean six sigma methodology optimises resource use with shorter time to diagnosis and increased diagnostic yield

Martens, Leon ; Goode, Grahame ; Wold, Johan F H ; Beck, Lionel ; Martin, Georgina ; Perings, Christian ; Stolt, Pelle ; Baggerman, Lucas Morgan, Daniel

United States: Public Library of Science

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