AI Article Synopsis
- Central venous catheters (CVC) used for dialysis in end-stage renal disease patients are linked to a high risk of Catheter-Related Bloodstream Infections (CRBSI), and this study explores the application of Lean Six Sigma outside of intensive care units (ICUs).
- Using the Define-Measure-Analyze-Improve-Control (DMAIC) method, the study evaluated improvements in CRBSI rates among non-ICU hemodialysis patients after implementing targeted interventions in 2022, comparing outcomes with the previous year as a benchmark.
- The results showed a significant reduction in CRBSI incidence from 12.79 to 2.32 per 1,000 catheter-days
Article Abstract
Background: Central venous catheters (CVC) are used for dialysis in end-stage renal disease patients, presenting a significant risk for Catheter-Related Bloodstream Infections (CRBSI). While Lean Six Sigma has been effective in reducing CRBSI, its efficacy outside intensive care units (ICU) remains less explored. This study aims to evaluate the effectiveness of Lean Six Sigma in mitigating CRBSI risks among non-ICU hemodialysis patients.
Methods: The study was conducted in a nephrology department, focusing on patients undergoing hemodialysis with temporary CVC from February to December 2021. The Lean Six Sigma method, using Define-Measure-Analyze-Improve-Control (DMAIC) methodology, was implemented in 2022 to reduce CRBSI incidence. The 2021 CRBSI rate served as the benchmark, with a goal to reduce it by the end of 2022. Value-stream mapping, Fishbone Diagrams, and Root Cause Analysis identified potential CRBSI causes. After implementing targeted improvements, CRBSI rates before and after the intervention were compared.
Results: The Lean Six Sigma method significantly decreased CRBSI incidence from 12.79 to 2.32 per 1,000 catheter-days following the implementation of targeted interventions ([Formula: see text]=4.60, P = 0.05). This improvement was observed comparing February-December 2021 with January-December 2022.
Conclusion: The findings demonstrate the effectiveness of the Lean Six Sigma method in non-ICU settings, suggesting broader applicability in hemodialysis patient care.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11430130 | PMC |
| http://dx.doi.org/10.1186/s12913-024-11527-6 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Improvements to safety and quality: mastery of tools and techniques is not enough, people and culture matter.
Int J Qual Health Care
December 2024
Independent Lean Six Sigma Scholar Dublin, Ireland
A Quality Improvement Project on Team-Based Care for Depression Screening Before and During the COVID-19 Pandemic in a Specialty Clinic.
Cureus
November 2024
Endocrinology, Diabetes and Metabolism, University of Minnesota School of Medicine, Minneapolis, USA.
Background: Depression screening is an important first step to identifying patients who might benefit from depression treatment. Merit-based incentive payment system (MIPS) quality measures can yield financial benefits or losses for healthcare systems, including depression screening.
Objectives: This study aims to (1) develop a team-based care workflow to improve MIPS depression screening in a specialty clinic and (2) modify the workflow to include a virtual nursing and behavioral health resource after the COVID-19 pandemic hit.
Sentinel testing, analytical sigma metrics and a risk management approach as part of a simplified method verification/validation process.
Scand J Clin Lab Invest
December 2024
INOVIE BIOFUTUR laboratory (Inovie member), Paris, France.
Introduction: Verification and validation of analytical methods are crucial aspects of quality assurance in a laboratory. This study aimed to develop a risk analysis and assessment tool to streamline the process of identifying so-called 'sentinel' tests.
Materials And Methods: The Roche Cobas 8000 systems were evaluated to analyze 83 serum analytes, including routine chemistry, immunoassays, and therapeutic drugs.
Background: Many hospitals and surgery centers have focused improvement efforts on operating room inefficiencies. A common inefficiency is missing and unusable surgical instrumentation, which can result in case delays and decreased effectiveness. Lean Six Sigma methodology, a set of process improvement tools focused on the reduction of waste and variation, has been used to identify and correct root causes of missing and unusable instrumentation.
View Article and Find Full Text PDFPROPEL Discharge: An Interdisciplinary Throughput Initiative.
Jt Comm J Qual Patient Saf
January 2025
Background: Increased care demands at a health care institution led to strained resources, emergency department (ED) congestion, safety events, and patient and employee dissatisfaction. Moreover, high volumes of afternoon discharges contributed to limited early morning bed availability and admission bottlenecks.
Methods: A 29-month pre-post design quality improvement project on 19 acute care, adult medicine units across two campuses at a large academic medical center was implemented to improve discharge timeliness, length of stay (LOS), and ED throughput by increasing pre-11:00 a.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!