System analysis and process redesign for quality improvement of sepsis resuscitation Online publication date: Thu, 09-Oct-2014
by Sura K. Alqudah; Yue Dong; Huitian Lu; Susan Lu
International Journal of Collaborative Enterprise (IJCENT), Vol. 4, No. 1/2, 2014
Abstract: Severe sepsis and septic shock are serious medical emergencies that require timely treatment. The Sepsis Resuscitation Bundle was implemented to frame the resuscitation time within 6 h of onset. Missing this goal has a major impact on treatment outcomes and cost. This study demonstrates the potential of applying a systems engineering approach to improve resuscitation compliance. Root cause analysis, an industrial engineering tool, was used to analyse the existing process and identify sources of delay. Simulation modelling was performed to study event dynamics and propose alternatives. Sensitivity analysis was used to test the proposed alternatives. Results showed that improvements could be achieved by adopting major event adjustments. Applying these adjustments is projected to increase compliance from 50% to 71% and reduce average patient cycle time by 32%, improving the quality of sepsis and septic shock resuscitation in the ICU.
Existing subscribers:
Go to Inderscience Online Journals to access the Full Text of this article.
If you are not a subscriber and you just want to read the full contents of this article, buy online access here.Complimentary Subscribers, Editors or Members of the Editorial Board of the International Journal of Collaborative Enterprise (IJCENT):
Login with your Inderscience username and password:
Want to subscribe?
A subscription gives you complete access to all articles in the current issue, as well as to all articles in the previous three years (where applicable). See our Orders page to subscribe.
If you still need assistance, please email subs@inderscience.com