Using Lean Six Sigma Methodology to Improve Quality of the Anesthesia Supply Chain in a Pediatric Hospital
Abstract
Six Sigma and Lean methodologies are effective quality improvement tools in many health care settings. We applied the DMAIC methodology (define, measure, analyze, improve, control) to address deficiencies in our pediatric anesthesia supply chain. We defined supply chain problems by mapping existing processes and soliciting comments from those involved. We used daily distance walked by anesthesia technicians and number of callouts for missing supplies as measurements that we analyzed before and after implementing improvements (anesthesia cart redesign). We showed improvement in the metrics after those interventions were implemented, and those improvements were sustained and thus controlled 1 year after implementation.
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Three studies present a reduction in the distance traveled by professionals as a result of their interventions.
“Three studies [39,47,59] are noteworthy as they present a reduction in the distance traveled by professionals as a result of their interventions.”
From Lean Healthcare Tools for Processes Evaluation: An Integrative Review. (2021) · cites this paper as [39]
Interventions included reorganization of the physical structure.
“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 [39]
Cites
Vest, J. R., & Gamm, L. D. (2009) · Implementation Science · doi:10.1186/1748-5908-4-35 · Cited by 216 · see citing works
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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 · see citing works
“From this, it is possible to eliminate waste and increase the efficiency of the process [39].”
Background
- Authors
- Roberts, R. J., Wilson, A. E., & Quezado, Z.
- Affiliations
- Children's National (US)
- Corresponding author
- Roberts, Renée J.
- Quezado, Zenaide
- Venue
- Anesthesia & Analgesia
- Published
- 2017-03
- Volume
- 124
- Issue
- 3
- Pages
- 922-924
- ISSN
- 0003-2999 (ISSN-L)
- OpenAlex
- W2531043067
- Cited by
- 27
- References
- 1
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 5 · 2020: 7 · 2019: 7 · 2018: 1 · 2017: 1
- FWCI
- 5.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Anesthesia & Analgesia (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
- Social Sciences › Business, Management and Accounting › Management Information Systems › Quality and Supply Management
- Health Sciences › Health Professions › Emergency Medical Services › Healthcare Operations and Scheduling Optimization
- Keywords
- Lean Six Sigma, pediatric anesthesia, quality improvement, DMAIC, supply shortages, anesthesia technicians, process mapping, children's hospitals
- MeSH terms
- Anesthesia, Anesthesia Department, Hospital, Follow-Up Studies, Hospitals, Pediatric, Humans, Quality of Health Care, Total Quality Management, Quality Improvement
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