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Streamlining The Interventional Breast Imaging Workflow by Lean Methodology Implementation

机译：通过精益方法实现简化介入乳房成像工作流程

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Clinical Relevance: Prolonged wait times for image-guided breast interventions are ruining the patient experience and negatively affect healthcare workers. Adopting lean methodology helps streamline the process and improve patient satisfaction. Purpose: This is a quality improvement project which aims to create an efficient interventional breast imaging workflow using lean methodology by reducing wastes of all kinds including time and materials. It aims to improve patients' satisfaction by decreasing the wait times Materials and Methods: We used the lean six Sigma Define, Measure, Analyze, Improve and Control (DMAIC). The team members used tools such as affinity diagram to define the current problems in the workflow and the root cause of prolonged wait times. Team members gathered observations. Root cause analysis using a fishbone diagram and wasteful steps were identified. Brainstorming sessions discussed ideas for improvement. A consensus was reached on countermeasures and a pilot project was planned. Results: The target of decreasing the wait time was met on the days when the counter measures were fully implemented Conclusion: Streamlining the breast imaging intervention is considered in its preliminary phase; further work and reviews are needed towards full implementation and sustainability. Despite the many challenges, embarking on quality improvement project and promoting lean culture not only helped us to meet the target of decreasing wait time but have improved the work environment and patient satisfaction.
机译：临床相关性：图像引导乳房干预的长时间正在破坏患者体验并对医疗工作者产生负面影响。采用精益方法有助于简化过程，提高患者满意度。目的：这是一种质量改进项目，旨在通过减少所有各种废物的贫民方法创造有效的介入乳房成像工作流程，包括时间和材料。它旨在通过降低等待时间材料和方法来改善患者的满意度：我们使用瘦六西格玛定义，测量，分析，改进和控制（DMAIC）。团队成员使用了亲和图，例如关联图，以定义工作流程中的当前问题和长时间等待的根本原因。团队成员收集了观察。鉴定了使用鱼骨图和浪费步骤的根本原因分析。头脑风暴会议讨论了改进的想法。对策达成了共识，并计划了试点项目。结果：降低等待时间的目标是在衡量措施完全实施的日子结束时达到：简化乳房成像干预是在其初步阶段考虑的;需要进一步的工作和评论，以实现全面实施和可持续性。尽管有许多挑战，但踏上质量改进项目，促进精益文化不仅帮助我们达到降低等待时间但改善了工作环境和患者满意度的目标。

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