Shared by East Tennessee Children’s Hospital
A Kaizen from East Tennessee Children’s Hospital and their PICU. Here is an example that is good for patients and staff (less delay) and is good for the organization (better charge capture).
Before there were multiple methods of informing Central Supply of the need for cart refills. Nursing could call down to Central Supply, fax a tick sheet or transport the cart to the bar code reorder workstation. The nurses were unsure of the “correct” method of ordering. This caused confusions for both Central Supply staff and the PICU nurses. Now the Central Supply and PICU nurses worked together to create one method that works for both departments. Patient charges are now captured on a charge sheet and entered into the reorder workstation without moving the cart.
A nurse voiced her concerns about the time it takes to access Ativan, a medicine used for seizures. PICU and Pharmacy worked together to get to the root cause of the problem and created a process to cut down the time and the number of steps in the process from eight steps to just four steps. This change has been implemented across the hospital to help all staff and patients.