IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i23p8748-d450736.html
   My bibliography  Save this article

An Enhanced Kaizen Event in a Sterile Processing Department of a Rural Hospital: A Case Study

Author

Listed:
  • Valentina Nino

    (Mechanical & Industrial Engineering Department, Montana State University, Bozeman, MT 59717, USA)

  • David Claudio

    (Mechanical & Industrial Engineering Department, Montana State University, Bozeman, MT 59717, USA)

  • Leonardo Valladares

    (Mechanical & Industrial Engineering Department, Montana State University, Bozeman, MT 59717, USA)

  • Sean Harris

    (Jake Jabs College of Business & Entrepreneurship, Montana State University, Bozeman, MT 59717, USA)

Abstract

Operating Rooms (ORs) generate the largest revenues and losses in a hospital. Without the prompt supply of sterile surgical trays from the Sterile Processing Department (SPD), the OR would not be able to perform surgeries to its busy schedule. Nevertheless, little emphasis has been brought in the medical literature to research on surgical instrument processing in the medical literature. The present study was done applies an Enhanced Kaizen Event (EKE) in the SPD of a rural hospital to identify sources of waste and minimize non-value-added steps in the SPD processes. The EKE consisted of three successive Plan-Do-Check-Act (PDCA) cycles, which focused on improvements at the departmental level first, then at an area level, and finally at the station level. The EKE yielded an improved streamlined workflow and a new design for the SPD layout, one of its areas, and a workstation. This paper aims at building a methodology, including identified steps. Results exhibited a 35% reduction in travel distance by the staff, eliminating non-value-added processes, reducing errors in the sterilization process, and eliminating cross-contamination for sterilized materials.

Suggested Citation

  • Valentina Nino & David Claudio & Leonardo Valladares & Sean Harris, 2020. "An Enhanced Kaizen Event in a Sterile Processing Department of a Rural Hospital: A Case Study," IJERPH, MDPI, vol. 17(23), pages 1-20, November.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:23:p:8748-:d:450736
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/23/8748/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/17/23/8748/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Papanicolas, Irene & Woskie, Liana R. & Jha, Ashish K., 2018. "Health care spending in the United States and other high-income countries," LSE Research Online Documents on Economics 87362, London School of Economics and Political Science, LSE Library.
    2. Akmal, Adeel & Greatbanks, Richard & Foote, Jeff, 2020. "Lean thinking in healthcare – Findings from a systematic literature network and bibliometric analysis," Health Policy, Elsevier, vol. 124(6), pages 615-627.
    3. Marc Dorval & Marie-Hélène Jobin, 2019. "Exploring lean generic and lean healthcare cultural clusters," International Journal of Productivity and Performance Management, Emerald Group Publishing Limited, vol. 69(4), pages 723-740, September.
    4. Luciano Brandão de Souza & Michael Pidd, 2011. "Exploring the barriers to lean health care implementation," Public Money & Management, Taylor & Francis Journals, vol. 31(1), pages 59-66, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Juan A. Marin-Garcia & Tomas Bonavia, 2021. "Empowerment and Employee Well-Being: A Mediation Analysis Study," IJERPH, MDPI, vol. 18(11), pages 1-22, May.
    2. Oscar Morell-Santandreu & Cristina Santandreu-Mascarell & Julio J. Garcia-Sabater, 2021. "A Model for the Implementation of Lean Improvements in Healthcare Environments as Applied in a Primary Care Center," IJERPH, MDPI, vol. 18(6), pages 1-30, March.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Ortal Slobodin & Ilia Plochotnikov & Idan-Chaim Cohen & Aviad Elyashar & Odeya Cohen & Rami Puzis, 2022. "Global and Local Trends Affecting the Experience of US and UK Healthcare Professionals during COVID-19: Twitter Text Analysis," IJERPH, MDPI, vol. 19(11), pages 1-17, June.
    2. Maury R. Randall & David Y. Suk & Kristin McCarthy, 2021. "U.S. Health Care: Too Much Of A Good Thing?," International Journal of Management and Marketing Research, The Institute for Business and Finance Research, vol. 14(1), pages 19-33.
    3. Gundula Krack, 2019. "How to make value-based health insurance designs more effective? A systematic review and meta-analysis," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 20(6), pages 841-856, August.
    4. Zeckhauser, Richard, 2021. "Strategic sorting: the role of ordeals in health care," Economics and Philosophy, Cambridge University Press, vol. 37(1), pages 64-81, March.
    5. Arnold P M van der Lee & Lieuwe de Haan & Aartjan T F Beekman, 2019. "Rising co-payments coincide with unwanted effects on continuity of healthcare for patients with schizophrenia in the Netherlands," PLOS ONE, Public Library of Science, vol. 14(9), pages 1-13, September.
    6. Fadlon, Itzik & Van Parys, Jessica, 2020. "Primary care physician practice styles and patient care: Evidence from physician exits in Medicare," Journal of Health Economics, Elsevier, vol. 71(C).
    7. Guangbo Ma & Kun Xu, 2022. "Value-Based Health Care: Long-Term Care Insurance for Out-of-Pocket Medical Expenses and Self-Rated Health," IJERPH, MDPI, vol. 20(1), pages 1-20, December.
    8. Soliman, Marlon & Saurin, Tarcisio Abreu & Anzanello, Michel Jose, 2018. "The impacts of lean production on the complexity of socio-technical systems," International Journal of Production Economics, Elsevier, vol. 197(C), pages 342-357.
    9. Agha, Leila & Frandsen, Brigham & Rebitzer, James B., 2019. "Fragmented division of labor and healthcare costs: Evidence from moves across regions," Journal of Public Economics, Elsevier, vol. 169(C), pages 144-159.
    10. Lorenzoni, Luca & Marino, Alberto & Or, Zeynep & Blankart, Carl Rudolf & Shatrov, Kosta & Wodchis, Walter & Janlov, Nils & Figueroa, Jose F. & Bowden, Nicholas & Bernal-Delgado, Enrique & Papanicolas,, 2023. "Why the US spends more treating high-need high-cost patients: a comparative study of pricing and utilization of care in six high-income countries," Health Policy, Elsevier, vol. 128(C), pages 55-61.
    11. Milstein, Ricarda & Shatrov, Kosta & Schmutz, Lea Miranda & Blankart, Carl Rudolf, 2022. "How to pay primary care physicians for SARS-CoV-2 vaccinations: An analysis of 43 EU and OECD countries," Health Policy, Elsevier, vol. 126(6), pages 485-492.
    12. Abdulaziz M. Almutairi & Mohammed Almanei & Ahmed Al-Ashaab & Konstantinos Salonitis, 2021. "Prioritized Solutions for Overcoming Barriers When Implementing Lean in the Healthcare Supply Chain: A Saudi Perspective," Logistics, MDPI, vol. 5(1), pages 1-16, February.
    13. Qi Chang & Zhennan Yan & Mu Zhou & Hui Qu & Xiaoxiao He & Han Zhang & Lohendran Baskaran & Subhi Al’Aref & Hongsheng Li & Shaoting Zhang & Dimitris N. Metaxas, 2023. "Mining multi-center heterogeneous medical data with distributed synthetic learning," Nature Communications, Nature, vol. 14(1), pages 1-16, December.
    14. Fielding-Singh, Priya & Dmowska, Amelia, 2022. "Obstetric gaslighting and the denial of mothers’ realities," Social Science & Medicine, Elsevier, vol. 301(C).
    15. Tuyet-Mai H. Hoang & Ainslee Wong, 2022. "Exploring the Application of Intersectionality as a Path toward Equity in Perinatal Health: A Scoping Review," IJERPH, MDPI, vol. 20(1), pages 1-25, December.
    16. Crego, Julio & Kárpáti, Daniel & Kværner, Jens & Renneboog, Luc, 2022. "The Economic Value of Eliminating Diseases," Other publications TiSEM 8b51764f-3ccd-4bb8-9da1-4, Tilburg University, School of Economics and Management.
    17. Tran, My & Gannon, Brenda & Rose, Christiern, 2023. "The effect of housing wealth on older adults’ health care utilization: Evidence from fluctuations in the U.S. housing market," Journal of Health Economics, Elsevier, vol. 88(C).
    18. Yash Daultani & Atanu Chaudhuri & Sushil Kumar, 2015. "A Decade of Lean in Healthcare: Current State and Future Directions," Global Business Review, International Management Institute, vol. 16(6), pages 1082-1099, December.
    19. Jacopo Guercini & Vincenzo Mezzatesta & Andrea Chiarini & Caterina Bianciardi & Lucia Bellandi & Sara Moi & Pasquale Biandolino, 2016. "Applicazione della metodologia SMED per il miglioramento delle operations nelle sale operatorie. Il caso Azienda Ospedaliera Universitaria Senese," MECOSAN, FrancoAngeli Editore, vol. 2016(98), pages 83-103.
    20. Thanos Papadopoulos, 2012. "Public–Private Partnerships from a Systems Perspective: A Case in the English National Health Service," Systems Research and Behavioral Science, Wiley Blackwell, vol. 29(4), pages 420-435, July.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:23:p:8748-:d:450736. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.