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首页> 外文期刊>Cochlear implants international >The Use of Lean Thinking Techniques in Implementing the Department of Health, UK, 18-Week Waiting Time Directive for Cochlear Implantation
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The Use of Lean Thinking Techniques in Implementing the Department of Health, UK, 18-Week Waiting Time Directive for Cochlear Implantation

机译：精益思维技术在英国卫生部实施的18周人工耳蜗等待时间指令中的应用

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摘要

In October 2007, Primary Care Trusts throughout the East of England agreed to fund assessment and implantation for all patients referred to Cambridge University Hospitals' Cochlear Implant Unit ('the Unit') providing they met locally agreed criteria. Subsequently, the Unit has employed Lean Thinking techniques to maximize departmental efficiency in order to comply with the Department of Health's i8-week guideline. Analysis of the patient's pathway, from referral to implantation surgery, highlighted areas of 'waste' that were causing delays in downstream processes. Through a number of streamlining measures a large waiting list of long-waiting patients (n = 141) has been cleared. Of those patients not receiving a preliminary hearing aid trial, 89% were implanted within 18 weeks (31/35 patients). Of those receiving the hearing aid trial 100% were assessed and commenced on the trial within 18 weeks, and 47% received implantation within the allotted time frame (7/15 patients). The Unit is continuing to monitor these processes to ensure these changes are continuing to maintain shorter waiting times. Equally, patients must feel that they have received optimal care and received sufficient information throughout the entire patient pathway.
机译：2007年10月，整个英格兰东部的初级保健基金会同意为所有转诊至剑桥大学医院的人工耳蜗植入科（“科室”）的患者提供评估和植入服务，前提是他们符合当地商定的标准。随后，该部门采用了精益思维技术，以最大限度地提高部门效率，从而符合卫生部第i8周的指南。从转诊到植入手术的患者路径分析显示，“废物”区域导致下游流程的延迟。通过多项精简措施，清除了一大批等待时间长的患者（n = 141）。在未接受初步助听器试验的患者中，有89％的患者在18周内被植入（31/35例患者）。在接受助听器试验的患者中，有100％被评估并在18周内开始试验，而47％的患者在指定的时间范围内接受了植入（7/15例患者）。该股将继续监测这些过程，以确保这些变化继续保持较短的等待时间。同样，患者必须感到自己在整个患者路径中都得到了最佳护理，并获得了足够的信息。

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