Impact of lean six sigma process improvement methodology on cardiac catheterization laboratory efficiency

Cardiovascular Revascularization Medicine : Including Molecular Interventions
Shikhar AgarwalSamir R Kapadia

Abstract

Operational inefficiencies are ubiquitous in several healthcare processes. To improve the operational efficiency of our catheterization laboratory (Cath Lab), we implemented a lean six sigma process improvement initiative, starting in June 2010. We aimed to study the impact of lean six sigma implementation on improving the efficiency and the patient throughput in our Cath Lab. All elective and urgent cardiac catheterization procedures including diagnostic coronary angiography, percutaneous coronary interventions, structural interventions and peripheral interventions performed between June 2009 and December 2012 were included in the study. Performance metrics utilized for analysis included turn-time, physician downtime, on-time patient arrival, on-time physician arrival, on-time start and manual sheath-pulls inside the Cath Lab. After implementation of lean six sigma in the Cath Lab, we observed a significant improvement in turn-time, physician downtime, on-time patient arrival, on-time physician arrival, on-time start as well as sheath-pulls inside the Cath Lab. The percentage of cases with optimal turn-time increased from 43.6% in 2009 to 56.6% in 2012 (p-trend<0.001). Similarly, the percentage of cases with an aggregate on-ti...Continue Reading

References

Mar 15, 2001·American Journal of Surgery·C L CorbinR W Schwartz
Aug 27, 2005·Journal of Health Organization and Management·David Sinreich, Yariv Marmor
Jun 6, 2006·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Henk de KoningRonald J M M Does
Jun 20, 2009·International Journal of Health Care Quality Assurance·Mehmet Taner
Jan 15, 2014·Reviews on Environmental Health·Selim AhmedRafikul Islam

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Citations

Oct 17, 2016·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Chayakrit KrittanawongTao Sun
Aug 22, 2018·Expert Review of Medical Devices·Damien P Kenny, Ziyad M Hijazi
Dec 3, 2016·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Stephen TrzeciakAnthony J Mazzarelli
Dec 14, 2019·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Adriano CaixetaMarcia Makdisse
Dec 19, 2020·Revista brasileira de enfermagem·Guilherme Dos Santos ZimmermannElena Bohomol
Jan 9, 2021·BMC Health Services Research·Andrew W KamJames E H Smith
May 11, 2021·Annals of Operations Research·Sengazhani Murugesan VadivelKirubaharan Boobalan
Jul 25, 2021·International Journal of Environmental Research and Public Health·Letícia Bianchini de BarrosRenata Cristina Gasparino
Jan 26, 2022·International Journal of Health Care Quality Assurance·Batsheva TzadokEran Tal Or

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