Improving operating room efficiency in academic children's hospital using Lean Six Sigma methodology

Tagge, Edward P.; Thirumoorthi, Arul; Lenart, John; Garberoglio, Carlos A.; Mitchell, Kenneth

doi:10.1016/j.jpedsurg.2017.03.035

Cited by 85 publications

(56 citation statements)

References 9 publications

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“…[6][7][8][18][19][20][21] Multiple strategies have been reported for OR efficiency improvement. [22,23] Due to the complexity of OR environment, the following interventions targeted isolated problems to improve OR efficiency: first case on-time start, turnover time, case volume, and OR utilization. [6,[18][19][20][21]24] Published studies report the impact of strategies to improve OR efficiency by one surgeon, one OR, or one institution.…”

Section: Discussionmentioning

confidence: 99%

The impact of benchmarking operating room efficiency within the Veterans Health Administration

Lynn

Bronson²,

Gunnar

2018

IJH

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Purpose: The Department of Veterans Affairs (VA) provides surgical care and services through a network of Veterans Health Administration (VHA) Surgical Programs. This study examined the impact of benchmarking on improvements in VHA surgery program operating room efficiency.Methods: The VA National Surgery Office (NSO) developed the operating room (OR) Efficiency Matrix with four common metrics that characterize OR processes. The OR Efficiency Matrix assigned a performance level to each VHA Surgery Program identified in the NSO Quarterly Report. The NSO Quarterly Report provided ongoing and regular feedback allowing VHA Surgery Programs to develop action plans and improve performance.Results: Beginning with the Fiscal Year (FY) 2013 Quarter (Q) 2 NSO Quarterly Report, the NSO has been reporting to VHA Surgery Programs on the OR Efficiency Matrix through several tables and figures in the NSO Quarterly Report. Overall, raw metric rates have improved nationally, with most improvements coming in the metrics of OR first time starts and surgical case cancellation.Conclusions: The NSO developed and implemented the OR Efficiency Matrix, representing four well recognized metrics, to assess, track, and report OR efficiency at 137 VHA Surgery Programs. This internal benchmarking process and data reporting was associated with sustainable improvements in OR efficiency over time.

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Section: Discussionmentioning

confidence: 99%

The impact of benchmarking operating room efficiency within the Veterans Health Administration

Lynn

Bronson²,

Gunnar

2018

IJH

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“…The results were the increase of first call resolution ratio, decrease of operator earnings, and streamline process. Lean Six Sigma methodology was used well to improve the surgery room efficiency in an academic children hospital [9]. Lean Six Sigma methodology could be applied appropriately in UK public sector to get the benefits and better return of investment [10].…”

Section: Literature Reviewmentioning

confidence: 99%

Improving performance measurement efficiency in public service using lean six sigma methodology

Wicaksono

Prastawa

Pitaloka

et al. 2018

MATEC Web of Conferences

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This research aims to conduct performance measurement efficiency in government and recommends an improvement to reduce the delay of submitting Functional Worksheet (FW) through Lean Six Sigma methodology. At recent system, the causes of delay in submitting FW are human factors i.e. the employee’s negligence and technical factor i.e. duplication work in inputing data. The employee’s performance measurement takes many times so that the leader can evaluate the employee’s FW after 35 days and 195 minutes. In this research, Web-Based Functional Worksheet Information System was designed as the result of the improvement stage of Lean Six Sigma. The Web-Based Functional Worksheet Information System improved the recent system in submitting FW and reduced the time of finishing the submitting FW. Moreover, the leader could evaluate the employee’s FW in a day.

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“…According to many studies, the practice of lean manufacturing has been used to effectively improve the operational and financial performance of the organization (Taj and Morosan, 2011;Dora et al, 2013;Fullerton et al, 2014;Godinho Filh et al, 2016;Negrão et al, 2017). The lean can be defined according to a common formula for what has been described in previous studies Tagge et al, 2017;Laureani and Antony, 2017;Randhawa and Ahuja, 2017) as a work without waste that includes a set of practices, thereby contributing to improved performance in the organizations. On the other hand, waste can be defined as anything that has no value within the institution, such as anything other than the minimum amount of equipment, materials, parts, and working time that are essential to production (Pavnaskar et al, 2003;Taj, 2008;Taj, 2011;chen et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Employment of Set Operations to Improve LMP Assessments Design and Implementation

Albezuirat

Ahmad

Hussain

et al. 2019

SJOM

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Objective - This paper aims to provide a new mathematical model for the construction of assessment tools for Lean Manufacturing Practices (LMP) through the integration process with the set operations. This study also strives to develop key elements to enhance the effectiveness of LMP assessments and their impact through mathematical interrelationship. Problem - Previous studies have shown a lack of clear mathematical methodology to carry out a rigorous assessment of the LMP effects on the firm’s operational and financial performance. Therefore, this paper tries to address this aspect by developing new equations. Design - The methodology of this study is based on the conversion of the linguistic description (companies, processes, waste, practices) into numerical measurement model by integrating with set theory. Finding - The results show a set of relationships and equations that can be applied to be a fundamental basis for ensuring the effectiveness of the assessment. This paper may contribute to the improvement of LMP’s design and development.

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Improving operating room efficiency in academic children's hospital using Lean Six Sigma methodology

Cited by 85 publications

References 9 publications

The impact of benchmarking operating room efficiency within the Veterans Health Administration

The impact of benchmarking operating room efficiency within the Veterans Health Administration

Improving performance measurement efficiency in public service using lean six sigma methodology

Employment of Set Operations to Improve LMP Assessments Design and Implementation

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