The DOI matches its Crossref record.
Improving Preoperative Throughput
Abstract
Preoperative throughput is an important piece in achieving the perioperative goal for first case on time starts. An inefficient preoperative (preop) department can delay surgery starts and impact the patient flow throughout the day. Research is abundant in applying lean six sigma principles in the operating room, however there are minimal studies that specifically apply these tools in the preop. The perioperative process includes the preop, operating room, and the postoperative departments. All areas have to run like a well-oiled machine to improve performance and achieve positive outcomes. This article will discuss the implementation of new practices in preop along with the benefits and obstacles identified during the pilot study.
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“Among these interventions, we can highlight reorganization of the physical structure [19,30,39,41,45]”
From Lean Healthcare Tools for Processes Evaluation: An Integrative Review. (2021) · cites this paper as [45]
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Research works printed but not linked: 10
- Fowler, 2008, Perioperative workflow: Barriers to efficiency, risks, and satisfaction, AORN J, 87, 187, 10.1016/j.aorn.2007.07.001 · DOI
- Sandberg, 2005, Deliberate perioperative systems design improves operating room throughput, Anesthesiology, 103, 406, 10.1097/00000542-200508000-00025 · DOI
- Sutherland, 2006, Towards an intelligent hospital environment: Adaptive workflow in the OR of the future, Proceedings of the 39th Hawaii International Conference on System Sciences, 5
- Vardaman, 2012, Complexity and change in workflows, J Nurs Adm, 42, 78, 10.1097/NNA.0b013e3182433677 · DOI
- Chaffee, 2007, A model of nursing as a complex adaptive system, Nurs Outlook, 55, 232, 10.1016/j.outlook.2007.04.003 · DOI
- Chadwick, 2010, Creating order out of chaos: A leadership approach, AORN J, 91, 154, 10.1016/j.aorn.2009.06.029 · DOI
- Plsek, 2001, Complexity, leadership, and management in healthcare organisations, BMJ, 323, 746, 10.1136/bmj.323.7315.746 · DOI
- Cima, 2011, Use of lean and six sigma methodology to improve operative room efficiency in a high-volume tertiary-care academic medical center, J Am Coll Surg, 213, 83, 10.1016/j.jamcollsurg.2011.02.009 · DOI
- Fairbanks, 2007, Using six sigma and lean methodologies to improve OR throughput, AORN J, 86, 73, 10.1016/j.aorn.2007.06.011 · DOI
- Djukic, 2012, Work environment factors other than staffing associated with nurses' ratings of patient care quality, J nurs Adm, 42, S17, 10.1097/01.NNA.0000420391.95413.88 · DOI
Cited by
Sorted by citations
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
“Among these interventions, we can highlight reorganization of the physical structure [19,30,39,41,45], review of work processes [38,46–49], development and standardization of documents [29,50–53] and team training [24,25,41,54,55], among others.”
Background
Metadata
- Authors
- Franklin, J., & Franklin, T.
- Corresponding author
- Franklin, Jennifer
- Franklin, Tony
- Venue
- Journal of PeriAnesthesia Nursing
- Publisher
- Elsevier BV
- Published
- 2017-02
- Volume
- 32
- Issue
- 1
- Pages
- 38-44
- ISSN
- 1089-9472 (ISSN-L)
- OpenAlex
- W2408332129
- Cited by
- 10
- References
- 0
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 2 · 2019: 3
- FWCI
- 1.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of PeriAnesthesia Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- 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
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Keywords
- Lean Six Sigma, patient flow, operating room efficiency, pilot implementation
- MeSH terms
- Humans, Leadership, Operating Rooms, Pilot Projects, Models, Organizational, Efficiency, Organizational, Preoperative Period, Quality Improvement
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