Cookie policy: This site uses cookies (small files stored on your computer) to simplify and improve your experience of this website. Cookies are small text files stored on the device you are using to access this website. For more information please take a look at our terms and conditions. Some parts of the site may not work properly if you choose not to accept cookies.

Join

Subscribe or Register

Existing user? Login

Applying “lean” principles to improve hospital chemotherapy services

By Jon Beard and Jarrod Dunn

Abstract

Aim

To address deficiencies in chemotherapy production and improve co-ordination between production, prescribing and clinic scheduling.

Design

Service review and redesign using ‘lean’, change management techniques.    

Setting

An oncology unit at a district hospital.     

Outcome measures

Daily production run times and associated patient delays.

Results

Production run times fell from 4.07h (sd=0.52h) to 2.82h (sd=0.44h), representing a weekly reduction of approximately 31.25h of staff time. The number of treatment delays of over an hour decreased from 50% or more to under 5% (one or two instances per day), due predominantly to most chemotherapy being prepared the day before scheduled treatment. Medical, nursing and production staff concurred that the changes were positive.

Conclusion

Systematic interventions designed to reduce wasteful activity, combined with co-ordinated activity rescheduling, reduced production run times and patient waits while reducing staff costs.

Citation: The Pharmaceutical Journal URI: 11106231

Have your say

For commenting, please login or register as a user and agree to our Community Guidelines. You will be re-directed back to this page where you will have the ability to comment.

Recommended from Pharmaceutical Press

Search an extensive range of the world’s most trusted resources

Powered by MedicinesComplete
  • Print
  • Share
  • Comment
  • Save
  • Print Friendly Version of this pagePrint Get a PDF version of this webpagePDF

Supplementary information

Newsletter Sign-up

Want to keep up with the latest news, comment and CPD articles in pharmacy and science? Subscribe to our free alerts.