1
|
Huang WJ, Zhang MW, Li BY, Wang XH, Zhang CH, Yu JG. 5S management improves the service quality in the outpatient-emergency pharmacy: from management process optimisation to staff capacity enhancement. Eur J Hosp Pharm 2024; 31:259-266. [PMID: 36424124 DOI: 10.1136/ejhpharm-2022-003449] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2022] [Accepted: 11/15/2022] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVE As a high-efficiency demanding department in a hospital, the outpatient pharmacy has a great need for quality improvement to provide superior medical service for patients. Little is known about the application of 5S management in a hospital pharmacy department. The aim of this study was to evaluate the impacts of 5S management on pharmaceutical service quality and staff capacity in the outpatient-emergency pharmacy. METHODS We carried out a 5S project in the outpatient-emergency pharmacy at a local hospital that involved processes including waste elimination, workplace standardisation, and optimisation of workflow and staff quality, and then evaluated the effects of the project. RESULTS The equipment and items in the outpatient-emergency pharmacy were sorted. All the drugs were categorised and put in order. The redesigned workspace and standardised workflow during the project improved the accuracy and efficiency of drug dispensing. The satisfaction rate of patients regarding the pharmaceutical service quality in the outpatient-emergency pharmacy was elevated, as well as the satisfaction rate of pharmacists about their work experiences. The optimisation of objective conditions also stimulated a positive working attitude and professional ability promotion of pharmacists in the outpatient-emergency pharmacy. CONCLUSIONS In this study, the 5S management method has proven useful for quality and efficiency improvement in the outpatient-emergency pharmacy, and could be generalised to other departments in a hospital, which provides further evidence of the advantages of the Lean tool in healthcare system management.
Collapse
Affiliation(s)
- Wen-Jing Huang
- Department of Pharmacy, Shanghai Chest Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, Xuhui, China
- Institute of Hospital Service Management, China Hospital Development Institute, Shanghai Jiao Tong University, Shanghai, Xuhui, China
| | - Meng-Wan Zhang
- Department of Pharmacy, Shanghai Chest Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, Xuhui, China
- Institute of Hospital Service Management, China Hospital Development Institute, Shanghai Jiao Tong University, Shanghai, Xuhui, China
| | - Bei-Yi Li
- Department of Pharmacy, Shanghai Chest Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, Xuhui, China
- Institute of Hospital Service Management, China Hospital Development Institute, Shanghai Jiao Tong University, Shanghai, Xuhui, China
| | - Xiao-Hui Wang
- Department of Pharmacy, Shanghai Chest Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, Xuhui, China
- Institute of Hospital Service Management, China Hospital Development Institute, Shanghai Jiao Tong University, Shanghai, Xuhui, China
| | - Chu-Han Zhang
- Department of Pharmacy, Shanghai Chest Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, Xuhui, China
- Institute of Hospital Service Management, China Hospital Development Institute, Shanghai Jiao Tong University, Shanghai, Xuhui, China
| | - Jian-Guang Yu
- Department of Pharmacy, Shanghai Chest Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, Xuhui, China
- Institute of Hospital Service Management, China Hospital Development Institute, Shanghai Jiao Tong University, Shanghai, Xuhui, China
| |
Collapse
|
2
|
Muñoz-García M, Martínez-Barros H, Sánchez-Cuéllar S, Morales-Tirado A, De-Andrés-Martín A, De-Los-Santos-Granados G, Antolín-Amérigo D, Blitz-Castro E, Fernández-Martín P, Santamaría-Gadea A, De-La-Hoz-Caballer B, Álvarez-Díaz AM, González-De-Olano D. Optimisation of the quality of care for patients with severe asthma: ASfarMA project. Eur J Hosp Pharm 2023:ejhpharm-2022-003611. [PMID: 36737227 DOI: 10.1136/ejhpharm-2022-003611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Accepted: 01/23/2023] [Indexed: 02/05/2023] Open
Abstract
Severe asthma has an important impact on patients and healthcare resources. Recently, the new specific treatments have defined a new scenario in which person-focused care and specialist multidisciplinary teams are necessary. Our Severe Asthma Unit (SAU) started the ASfarMA project along with an external human-centered design company to understand patients' vision of their illness, treatment, and healthcare experience, and to define the ideal SAU by performing a core group session, in-depth semistructured interviews and co-creation workshop. Herein, a series of tips classified as either 'transformative solutions' or 'quick wins', according to a value versus effort matrix are presented. Successful implementation of the proposed solutions will be valuable for patients and healthcare professionals, optimising patient care and resources. These findings can also be helpful to other SAUs or other humanisation projects involving complex, chronic and multidisciplinary pathologies.
Collapse
Affiliation(s)
| | | | | | - Ana Morales-Tirado
- Paediatrics Services, Hospital Universitario Ramon y Cajal, IRYCIS, Madrid, Spain
| | | | | | | | - Enrique Blitz-Castro
- Paediatrics Services, Hospital Universitario Ramon y Cajal, IRYCIS, Madrid, Spain
| | | | | | | | | | | |
Collapse
|