How to Reduce Head CT Orders in Children with Hydrocephalus Using the Lean Six Sigma Methodology: Experience at a Major Quaternary Care Academic Children's Center.

AJNR. American Journal of Neuroradiology
A TekesT A G M Huisman

Abstract

Lean Six Sigma methodology is increasingly used to drive improvement in patient safety, quality of care, and cost-effectiveness throughout the US health care delivery system. To demonstrate our value as specialists, radiologists can combine lean methodologies along with imaging expertise to optimize imaging elements-of-care pathways. In this article, we describe a Lean Six Sigma project with the goal of reducing the relative use of pediatric head CTs in our population of patients with hydrocephalus by 50% within 6 months. We applied a Lean Six Sigma methodology using a multidisciplinary team at a quaternary care academic children's center. The existing baseline imaging practice for hydrocephalus was outlined in a Kaizen session, and potential interventions were discussed. An improved radiation-free workflow with ultrafast MR imaging was created. Baseline data were collected for 3 months by using the departmental radiology information system. Data collection continued postintervention and during the control phase (each for 3 months). The percentage of neuroimaging per technique (head CT, head ultrasound, ultrafast brain MR imaging, and routine brain MR imaging) was recorded during each phase. The improved workflow resulted in a ...Continue Reading

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Citations

Jun 25, 2019·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Corina NojeCourtney L Robertson
Sep 13, 2018·Systematic Reviews·Rachel FlynnShannon D Scott
Nov 22, 2019·Der Radiologe·B Ertl-Wagner, M W Wagner
Jul 14, 2018·AJNR. American Journal of Neuroradiology·A TekesE M Jackson
Dec 19, 2020·Revista brasileira de enfermagem·Guilherme Dos Santos ZimmermannElena Bohomol
Mar 12, 2020·Health Policy·Angels NiñerolaAna-Beatriz Hernández-Lara
Jun 25, 2019·Pediatric Clinics of North America·Anupama SubramonyRaj Srivastava

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