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  5. Using Lean Six Sigma to Improve Controlled Drug Processes and Release Nursing Time
 
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Using Lean Six Sigma to Improve Controlled Drug Processes and Release Nursing Time

Alternative Title
Improving controlled drug processes
Author(s)
Creed, Maria  
McGuirk, Michelle  
Buckley, Ruth  
De BrĂșn, Aoife  
Kilduff, Marie  
Uri
http://hdl.handle.net/10197/10918
Date Issued
2019-07-01
Date Available
2019-07-16T09:09:29Z
Abstract
BACKGROUND: Hospital controlled drug processes are established to adhere to legislation, with little consideration of efficiency of processes. LOCAL PROBLEM: A controlled drug process existed, where nurses requested a porter to collect a hand-written order; however, only 19% of drug orders were processed this way. Instead, an unscheduled, ad hoc process led to an average of 17 nurse journeys to pharmacy daily. We aimed to reduce nurse journeys to the pharmacy by 25% to release nursing time. METHODS: A pre-/postintervention design was used with Lean Six Sigma methods. INTERVENTIONS: A multifaceted intervention involved process redesign, increasing the frequency of a porter-led delivery service, amending delivery times to reflect times of greatest need, and streamlining checking requirements. RESULTS: Following implementation, there was a statistically significant 44% decrease in nurse journeys to pharmacy for drug collections, which was maintained after 18 months. CONCLUSIONS: Interprofessional collaboration improving hospital-wide processes can have significant benefits for the release of nursing time.
Other Sponsorship
Mater Lean Academy
Type of Material
Journal Article
Publisher
Ovid Technologies (Wolters Kluwer Health)
Journal
Journal of Nursing Care Quality
Volume
34
Issue
3
Start Page
236
End Page
241
Copyright (Published Version)
2019 Wolters Kluwer Health, Inc.
Subjects

Controlled drug proce...

Lean Six Sigma

Medication management...

Process improvement

Quality improvement

DOI
10.1097/NCQ.0000000000000364
Language
English
Status of Item
Peer reviewed
ISSN
1057-3631
This item is made available under a Creative Commons License
https://creativecommons.org/licenses/by-nc-nd/3.0/ie/
File(s)
No Thumbnail Available
Name

Lock Stock and Flow FINAL without Endnote.docx

Size

35.83 KB

Format

Unknown

Checksum (MD5)

862d1d50f17a196497b126e2091d2f99

Owning collection
Nursing, Midwifery & Health Systems Research Collection

Item descriptive metadata is released under a CC-0 (public domain) license: https://creativecommons.org/public-domain/cc0/.
All other content is subject to copyright.

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