The DOI matches its Crossref record.
Use of Lean Six Sigma methodology shows reduction of inpatient waiting time for peripherally inserted central catheter placement
Abstract
Aim The aim of this study was to assess the use of Lean Six Sigma methodology to improve the turnaround time (TAT) for inpatient peripherally inserted central catheter (PICC) placement. Materials and methods Value stream mapping was used to analyse the workflow process for inpatient PICC placement and to divide it into its component parts. Unnecessary steps were eliminated and variation minimised in the remaining processes. The TAT for PICC line placement was recorded for the 6 months prior to implementation of changes, and subsequently, at the 6-month and 2-year follow-up points. Results Prior to implementing the changes, the mean TAT for PICC line placement was 3.74±3.28 days (95% confidence interval [CI]=3.3-4.17). Six months after implementation, the mean TAT was 1.89±1.82 days (95% CI=1.72-2.06, p<0.0001). The reduction was sustained such that at 2 years post-implementation the mean TAT was 1.88±1.87 days (95% CI=1.78-1.99, p<0.0001). This was achieved despite a 13.8% increase in overall interventional radiological activity. Conclusion By applying Lean Six Sigma methodology to the complex multifactorial processes involved from ordering a PICC to its final insertion, it was possible to identify areas for improvement and to introduce simple, effective measures that resulted in a significant sustained decrease in the TAT without additional resources.
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“team training [24,25,41,54,55]”
From Lean Healthcare Tools for Processes Evaluation: An Integrative Review. (2021) · cites this paper as [25]
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“in two (6.1%) articles, the study was conducted in more than one place [24,25].”
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Lean Healthcare Tools for Processes Evaluation: An Integrative Review.
de Barros, L. B., Bassi, L. D. C., Caldas, L. P., Sarantopoulos, A., Zeferino, E. B. B., Minatogawa, V., & Gasparino, R. C. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18147389 · Cited by 90
“1%) articles, the study was conducted in more than one place [24,25].”
BackgroundKambli, A., Sinha, A. A., & Srinivas, S. (2020) · Journal of Hospitality and Tourism Management · doi:10.1016/j.jhtm.2020.02.008 · Cited by 33
Metadata
- Authors
- Hynes, J. P., Murray, A. S., Murray, O. M., Eustace, S. K., Gilchrist, S., Dolan, A., & Lawler, L. P.
- Affiliations
- Mater Misericordiae University Hospital (IE)
- Corresponding author
- Hynes, J.P.
- Venue
- Clinical Radiology
- Publisher
- Elsevier BV
- Published
- 2019-09
- Volume
- 74
- Issue
- 9
- Pages
- 733.e5-733.e9
- ISSN
- 0009-9260 (ISSN-L)
- OpenAlex
- W2946172134
- Cited by
- 23
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 5 · 2022: 4 · 2021: 6 · 2020: 5
- FWCI
- 5.53
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Radiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Central Venous Catheters and Hemodialysis
- Social Sciences › Decision Sciences › Management Science and Operations Research › Healthcare Operations and Scheduling Optimization
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Quality and Management
- Keywords
- Lean Six Sigma, peripherally inserted central catheter, turnaround time, value stream mapping, workflow improvement, interventional radiology, process variability reduction
- MeSH terms
- Catheterization, Central Venous, Catheterization, Peripheral, Female, Humans, Inpatients, Male, Middle Aged, Prospective Studies, Waiting Lists, Radiography, Interventional, Total Quality Management, Workflow
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- The paper
- Hynes, J. P., Murray, A. S., Murray, O. M., Eustace, S. K., Gilchrist, S., Dolan, A., & Lawler, L. P. (2019). Use of Lean Six Sigma methodology shows reduction of inpatient waiting time for peripherally inserted central catheter placement. Clinical Radiology. https://doi.org/10.1016/j.crad.2019.04.022
