Improving Usability of the Pediatric Code Cart by Combining Lean and Human Factors Principles.

IF 1.2 Q3 PEDIATRICS
Maria Frazier, Kristen Webster, Maya Dewan, Tamara Hutson, Kelly Collins, Tina Fettig, Taylor Grooms, Mary Cordray, Ken Tegtmeyer
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Abstract

Cardiac arrests are common in hospitalized children. Well-organized code carts are needed during these events to help staff efficiently find supplies and medications for the patient. This study aimed to improve the efficiency and utilization of the code cart at a major academic pediatric medical center.

Methods: This quality improvement project used a phased approach to redesign the code cart. A multidisciplinary team used Lean and Human Factors principles to improve the efficiency and intuitiveness of the redesigned cart. Nurses and respiratory therapists participated in simulations asking for certain supplies with the original and redesigned code cart and filled out surveys for feedback on each code cart. Facilitators measured retrieval times during each simulation.

Results: We performed 10 simulations with the original code cart and 13 with the redesigned code cart. Staff could find intraosseous access equipment more quickly (23.9 versus 46.4 seconds; P = 0.003). In addition, staff reported they were less likely to open the wrong drawer or grab the wrong equipment and that the redesigned code cart was overall more well organized than the original code cart. Finally, the redesigned code cart reduced the cost by over 800 dollars per full cart restock.

Conclusion: Revising the code cart using Lean and Human Factors improves efficiency and usability and can contribute to cost savings.

Abstract Image

Abstract Image

Abstract Image

结合精益和人为因素原则提高儿科代码车的可用性。
心脏骤停在住院儿童中很常见。在这些事件中,需要组织良好的代码推车来帮助工作人员有效地为患者找到供应品和药物。本研究旨在提高某大型学术儿科医疗中心代码车的效率和利用率。方法:这个质量改进项目使用了一种分阶段的方法来重新设计代码车。一个多学科团队使用精益和人为因素的原则,以提高重新设计的车的效率和直观性。护士和呼吸治疗师参与了模拟,要求使用原始和重新设计的急救车提供某些用品,并填写调查问卷,以获得对每个急救车的反馈。促进者在每次模拟中测量检索时间。结果:我们使用原始码车进行了10次模拟,使用重新设计的码车进行了13次模拟。工作人员可以更快地找到骨内通路设备(23.9秒比46.4秒;P = 0.003)。此外,员工报告说,他们不太可能打开错误的抽屉或拿错设备,重新设计的代码车总体上比原来的代码车更有条理。最后,重新设计的代码车减少了每辆满货车800美元的成本。结论:使用精益和人为因素修改代码车可以提高效率和可用性,并有助于节省成本。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.20
自引率
0.00%
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审稿时长
20 weeks
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