Two stakeholders from an ods heart institute one

Info icon This preview shows pages 86–88. Sign up to view the full content.

View Full Document Right Arrow Icon
Two stakeholders from an ODS heart institute One staff person from the catheterization laboratory Mapped initial state of D2B process (Lean team members described as “confusing,” “disjointed” and “practitioner variable” but “focused on patient goals” and “committed).” Mapped target state. Lean team members noted the target state should be “fast,” “goal oriented,” “ have clear roles,” “ be patient centered,” “ be a good use of resources,” and “ be easy to instruct.” Conducted gap analysis between current and target state. Brainstormed possible solutions to reach target state and reduce gaps. Conducted rapid “experiments” (trial runs). Developed completion plan.
Image of page 86

Info icon This preview has intentionally blurred sections. Sign up to view the full version.

View Full Document Right Arrow Icon
80 With door-to- balloon… I don’t think there is that much room for going back.” Nurse, Lean Team Member Continued collection of D2B data occurred during sustainment monitoring for the ED and the catheterization lab. In general, interviewees from the ED believed that the process implemented as part of the D2B RCI sustained itself and continued to function well. ED staff believed that they were implementing the new process and their times were showing improvement. Data and adherence to the new process from the catheterization laboratory were less clear because tracking sheets were often not completed or submitted to the team leader. Project Outcomes The perception of success for the D2B project was relatively consistent among Lean team members and department leadership. Most interviewees believed that D2B was “successful” or “somewhat successful.” One interviewee who participated in multiple RCIs described the D2B project as “her favorite” because of its success. Specifically, staff noted the following outcomes of the Lean project that contributed to its success: A decrease in average D2B time from 89 to 77 minutes as a result of a new standardized process. A checklist was developed to improve the process and to ensure that the catheterization lab staff knew exactly what the ED staff had completed prior to handing off the patient. A feeling that patients were truly being helped. Better rapport and communication between the catheterization lab and the ED. As a result of the project, as soon as ED staff identify a STEMI patient, they notify the catheterization lab so they can begin preparing. Additionally, the catheterization lab helped the ED prioritize the steps to take before a patient moves to the catheterization lab. Improved staff morale in the ED. For some, a change in the perception of RCIs. Because this event was more successful than other RCI events in the ED value stream, staff’s perception of the value of RCIs improved.
Image of page 87
Image of page 88
This is the end of the preview. Sign up to access the rest of the document.

{[ snackBarMessage ]}

What students are saying

  • Left Quote Icon

    As a current student on this bumpy collegiate pathway, I stumbled upon Course Hero, where I can find study resources for nearly all my courses, get online help from tutors 24/7, and even share my old projects, papers, and lecture notes with other students.

    Student Picture

    Kiran Temple University Fox School of Business ‘17, Course Hero Intern

  • Left Quote Icon

    I cannot even describe how much Course Hero helped me this summer. It’s truly become something I can always rely on and help me. In the end, I was not only able to survive summer classes, but I was able to thrive thanks to Course Hero.

    Student Picture

    Dana University of Pennsylvania ‘17, Course Hero Intern

  • Left Quote Icon

    The ability to access any university’s resources through Course Hero proved invaluable in my case. I was behind on Tulane coursework and actually used UCLA’s materials to help me move forward and get everything together on time.

    Student Picture

    Jill Tulane University ‘16, Course Hero Intern