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Lean‐Based Redesign of Multidisciplinary Rounds on General Medicine Service
BACKGROUND Multidisciplinary rounds (MDR) facilitate timely communication amongst the care team and with patients. We used Lean techniques to redesign MDR on the teaching general medicine service. OBJECTIVE To examine if our Lean‐based new model of MDR was associated with change in the primary outco...
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Published in: | Journal of hospital medicine 2018-07, Vol.13 (7), p.482-485 |
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Main Authors: | , , , , , , , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | BACKGROUND
Multidisciplinary rounds (MDR) facilitate timely communication amongst the care team and with patients. We used Lean techniques to redesign MDR on the teaching general medicine service.
OBJECTIVE
To examine if our Lean‐based new model of MDR was associated with change in the primary outcome of length of stay (LOS) and secondary outcomes of discharges before noon, documentation of estimated discharge date (EDD), and patient satisfaction.
DESIGN, SETTING, AND PATIENTS
This is a pre‐post study. The preperiod (in which the old model of MDR was followed) comprised 4000 patients discharged between September 1, 2013, and October 22, 2014. The postperiod (in which the new model of MDR was followed) comprised 2085 patients between October 23, 2014, and April 30, 2015.
INTERVENTION
Lean‐based redesign of MDR.
MEASUREMENTS
LOS, discharges before noon, EDD, and patient satisfaction.
RESULTS
There was no change in the mean LOS. Discharges before noon increased from 6.9% to 10.7% (P < .001). Recording of EDD increased from 31.4% to 41.3% (P < .001). There was no change in patient satisfaction.
CONCLUSIONS
Lean‐based redesign of MDR was associated with an increase in discharges before noon and in recording of EDD. |
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ISSN: | 1553-5592 1553-5606 |
DOI: | 10.12788/jhm.2908 |