Ortilla, John Ignacio M.

September 13,
2018
J15 – 96046 SE 4103

Standard work for room entry: Linking lean, hand hygiene, and patient-centeredness
Kristin O'Reilly, Samantha Ruokis, Kristin Russell, TimTeves, Justin Di Libero, David
Yassa, Hannah Berry, Michael D. Howell

Introduction

The standard work for room entry is to have a protocol for a cleaner room.
The access in the room are set to standards so that the correct procedures are
effective to avoid contamination on the patients. The plans and direct measures
were given to implement standards room entry process so that it will leads to
quantifiable positive results on the therapeutic emergency unit, quality, quiet
involvement, effectiveness, and staff fulfillment. Review are also given so that the
management undertakes the needed action in time also engineering techniques are
apply to develop a standard process that included both physical steps and also
standard communication elements from provider to patients and families and
created a physical environment to support in Standard work for room entry

Highlights

A. Aim was to develop a standard process for room entry in the intensive care
unit that improved compliance with hand hygiene and allowed or maximum
efficiency.
B. Hand hygiene has almost always been viewed as an isolated task.
C. This provided the opportunity to use industrial engineering techniques to
redesign the entire process of room entry, focusing not only on improving
hand hygiene and contact precautions, but also on embedding standard work
around communicating with patients and their families.
D. Identify the strategies and contextual factors that enable optimal
engagement of patients in the design, delivery, and evaluation of health
services
E. Recognize the importance of social relationships, our knowledge about
applying social network analysis (SNA) to formative, process, and outcome
evaluations of health system interventions is limited.
F. Partnering, delivering care, measuring performance and improving quality

Methods/ Procedures

1. Use formal Lean techniques to re-engineer room entry – to design a standard

room entry process was supported and resourced at the highest level of
BIDMC leadership and formally reflected as an Annual Operating Plan goal
2. The design and implementation of a standardized room entry process and the
creation of an environment – supports that new processs has resulted in
 measurable positive outcomes on the MICU, including quality ,patient
experience, efficiency, and staff
3. All correct steps had to be performed in the correct sequence for a correct
entry
4. Next steps are to spread this work to the remaining 8 ICUs at our medical
center. Once that is complete we hope to move this work to two of our
community hospital partners.
5. Consider the link between hand hygiene and reduced infections to be settled
science.
6. Use of systems engineering to improve hand hygiene and patient-and-family
centered communication

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