P344 LEANHEALTHCARE: CLINICAL DOCUMENTATION AS AN EFFECTIVE INSTRUMENT FOR IMPROVING CARE. (18th May 2022)

• Record Type: Journal Article
• Authors: Natali, B; Baratta, S; Vaselli, M; Baroni, M; Gwynne, S; Nardini, F
• Is Part Of: European heart journal supplements. Volume 24(2022)Supplement C
• Publication Date: 2022-05-18
• Subjects: Cardiology -- Periodicals; Cardiology -- Europe -- Periodicals; 616.12005
• DOI: 10.1093/eurheartj/suac012.331
• Languages: English
• ISSNs: 1520-765X

Abstract

Abstract: Introduction: Lean Thinking is configured as a management methodology aimed at creating value for the patient and at the systematic reduction of inefficiencies (waste). dictates of leanthinking can result in a new proactive approach supporting the clinic.For these aspects, the Lean approach seemed to us to be an excellent tool to tackle such a complex path as that of creating a computerized folder within the Intensive Care Cardiac surgery. Objective: The aim of the project was to ensure that the lean tools applied to the development of a computerized medical record could give value to the patient, streamline and speed up the work of operators in terms of response times, delivery and fast consultation of diagnostic reports, ensuring speed and completeness in retrieving information, but also in sharing them among professionals. MATERIALS AND Methods: Always with a view to continuous improvement of care, before starting with the drafting of the computerized medical record, a multisciplinary work group was set up with the use of typical project management and lean tools, '' analyzed the path, defined the critical issues and proposed solutions. In the section dedicated to the proposed Countermeasures we opted for a step–by–step IT implementation of both the clinical and health parts with adequate equipment that would implement the existing tools. Results: The results of our work derive from the implementation of Lean Thinking. What we have been able to create is a folder model aligned with the healthcare processes and which supports the clinician's decisions, that is, the IT system has been adapted to the healthcare processes and not simply "computerized" the paper record. Conclusions: At the end of this process, we realized how to analyze the paths and connections between the various operating units according to lean dictates, leading to highlighting those critical issues that slow down the process by not respecting criteria of efficiency and effectiveness. intensive care has been able to respect standards of support, planning and evaluation of care.