Non-Mobile Patients Transportation: Lean Production Principles

Dr. L.A. Fedyk, Head, Voluntary Certification System All-Russian Registr, Tyumen’, Russia info@9000-2001.ru

Dr. G.N. Shestakova, Head Physician, Surgut Region Clinical Hospital, Doctor-organizer of Health, Higher Category, Surgut, Russia

А.S. Tkachenko, Doctor-methodist, Higher Category, Head, Department of Standardization and Safety Medical Activity, Surgut Region Clinical Hospital

Yu.V. Dolgikh, Expert on QMS Certification, Voluntary Certification System All-Russian Registr, Tyumen’, Russia

key words

risk-focused thinking, GOST R ISO 9001–2015, FMEA-analysis, process, risk reduction, definition of probability

We have shared the work principles of the Surgut District Clinical Hospital on the basis of implementing the ISO 9001–2015 standard’s requirements, as well as the opportunities for improving processes based on Lean production principles and a risk- based approach.
Risk management in the organization occurs with the help of modern techniques, for example FMEA-analysis of the process.
We have lead detailed process and have found out, that it demands significant time from medical workers. It negatively affects on other patients quality service. In this connection we had been created service of non-mobile groups patients support as separate structural unit. The lead reorganization has allowed to lower expenses for transportation almost twice, including expenses and inefficient use of time as main resource have as much as possible decreased.
The calculation of the probability and significance of risk has shown that the risk of patient falls during transportation is one of the main risks. Clear working instructions and algorithms of the transportation process have been developed, the implementation of which is checked once a quarter for internal audits. Prevention of fall is carried out at all stages of transportation.
We also have taken into account the climatic conditions of the seasons. The results of non-mobility patients transportation process centralization are:

increasing the quality of care for all hospital patients;

reduction of time spent by qualified personnel on low-skilled labor with the possibility of providing nursing assistance to patients within the limits of the standard;

rationally constructed logistics of vehicles allowed to reduce the number of vehicles for transportation of patients from five to two;

improved the prevention of falling in the non-mobile groups.