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On time starts in the endoscopy suite
Dissertation   Open access

On time starts in the endoscopy suite

Pauline Clarke
Doctor of Nursing Practice (D.N.P.), Drexel University
2015
DOI:
https://doi.org/10.17918/etd-6494
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Clarke_Pauline_2015344.69 kBDownloadView

Abstract

Nursing
This is an evidence-based project that examined on time starts in an endoscopy suite. The goal of this project was to improve on time starts for all first cases of the day from between 68% - 59%, to 70%. The benchmark of 70% was adopted from on time starts for procedures performed under general anesthesia from the general operating room (OR) because the endoscopy specialty had no industry benchmark. On time start was defined as patient in the procedure room (wheels in) by the scheduled time and out of the procedure room (wheels out) to the Post Anesthesia Care Unit (PACU) on time. The room turnover time between cases was expected to occur within ten (10) minutes and is a team effort for all available staff on the unit. This project utilized the Kaizen/Lean methodology framework. A Rapid Improvement Event (RIE) was originally planned to implement the workflow change with the objectives to hardwire the new process to increase efficiency and to benchmark with other system endoscopy suites. The Rapid Improvement Event was replaced with a pilot project when full cooperation of all stakeholders was not forthcoming.

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