'I saw the sign!' - Reduction of Unnecessary Daily Redirections to Improve Quality of Patient Care  

Oleh:

Wu, Xiao Yuan ; Lee, Hong Rui

Jenis: Article from Proceeding
Dalam koleksi: 12th ANQ Congress in Singapore, 5-8 Agustus 2014, page 1-5.
Topik: Root cause analysis; Transport waste; Intellect waste; Rework waste; Patient Care
Fulltext: PS-2.4-P0139.pdf (306.27KB)

Isi artikel

The Occupational Therapy Hands Out-Patient Clinic (Room 23) provides rehabilitation mainly to patients with upper limb injuries. Room 23 consists of several treatment modalities – including heat therapy, ultrasound and laser machines, splint making station etc, which are placed in different areas of the room. Patients receiving therapy are required to move around the room 4-6 times on average per visit for access to these modalities. Difficulty in providing clear one-step directions to direct patients around the room have led to the generation of unnecessary rework, intellect and transport waste; contributing significantly to a disruption of work flow in Room 23. On average, 10 redirections were made daily. The A3 problem solving tool was used to guide the problem solving process. Problems identified were mainly related to the placement, size and lack of proper signage in the room, these problems were broken down using root cause analysis. Proposed countermeasures were trialed and implemented based on the root causes; these included repositioning and redesigning current table signage and increasing signage for easy area identification. These changes were well received by both patients and therapists, whom unanimously agreed that time saved from redirections were being effectively channeled into providing quality treatment for patients. Post-implementation, average daily redirections have been successfully reduced by 72.5%, from 10 to 2.75 times. These efforts are in line with Singhealth’s Age-Friendly Initiatives that seek to promote practices allowing elderly patients to better navigate within the hospital environment. It also fulfilled the two ‘E’s in Singhealth’s SPREE quality priorities – efficiency and experience

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