‘Bundling' hospital processes may help prevent infections – USATODAY.com
“Bundling hospital processes” = Standardized Work
Why isn't every hospital doing this? Why isn't every hospital administrator making sure this is happening?
The IHI [Institute for Healthcare Improvement] defines bundling as a group of processes needed by patients undergoing certain risky treatments. The idea is to join scientifically grounded elements that reduce the risk of serious complications, such as pneumonia or central-line infections.
Ventilator-associated pneumonia is one of the most common hospital-acquired infections. The related bundle requires that the head of the bed be elevated, the patient be woken daily for assessment, and preventative steps be taken to prevent blood clots and ulcers.
The medical/surgical intensive care unit at BryanLGH Medical Center in Lincoln, Neb., put this bundle into effect and went 27 months without a case of the targeted infection. “Bundles aren't rocket science, but they're effective and they work,” says Mona Reynolds, a clinical nurse manager at BryanLGH.
Yes, standardized work and checklists aren't glamorous… process work isn't necessarily glamorous, but it works and it can save lives.
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Mark's new book is The Mistakes That Make Us: Cultivating a Culture of Learning and Innovation.
He is also the author of Measures of Success: React Less, Lead Better, Improve More, the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, and the anthology Practicing Lean.
Mark is also a Senior Advisor to the technology company KaiNexus.