This article was originally published here
J Nurs Care Qual. August 24, 2021. doi: 10.1097 / NCQ.0000000000000591. Online ahead of print.
BACKGROUND: Delayed leave can be a systemic problem. Understanding the systemic factors that contribute to landfill inefficiencies is essential to addressing landfill inefficiencies.
OBJECTIVE: This article reports on a Lean Six Sigma approach and the process of identifying inefficiencies and systemic barriers to early discharge in a large US academic medical center.
METHODS: A qualitative methodology guided this project. In particular, direct observation methods were used to help the project team identify factors contributing to landfill inefficiencies.
RESULTS: Overall, the results suggest that establishing cohesive multidisciplinary team communication processes helped reduce inefficiencies around leave. On a more granular level, the main obstacles included disparate communication systems, disruptors (especially Kaizen bursts), and unique role challenges.
CONCLUSIONS: This article provides a framework for dealing with discharge inefficiencies. Because the outcome of the process, a critical contributor to the overall outcome, is often not analyzed, this analysis provides value to others who are considering the same or a similar process towards the efficiency of the landfill.
PMID: 34446665 | DOI: 10.1097 / NCQ.00000000000000591