Authors (including presenting author) :
Li CK(1), Lam KN(1), Tang PY(1), Lo SY(1), Cham YK(1), Lo CY (1)
Affiliation :
(1) Intensive Care Unit, North District Hospital
Introduction :
In the dynamic healthcare landscape, the Lean and Green Initiative (LGI) challenges the notion that efficiency and sustainability are incompatible. Implemented in the NDH ICU, the LGI integrates lean and green design principles, revolutionizing healthcare operations. Our objective is to achieve efficiency while championing sustainability, forging a transformative approach in healthcare.
Objectives :
The LGI aims to transform the ICU by reducing paper consumption, streamlining processes, and integrating Lean principles. Our goals include enhancing efficiency, mitigating environmental impact, and eliminating unnecessary documentation through data automation. We optimize resource utilization, improve workflow, and deliver high-quality care while minimizing waste. The LGI sets a new standard, showcasing the efficiency and sustainability in healthcare.
Methodology :
The LGI addresses paper-intensive challenges in the ICU by replacing faxing systems with electronic processes for tasks such as test kit refills, ad-hoc patient meal requests, specimen bottle requisitions, and equipment disinfection procedures. This reduces paper usage, automates tasks, and improves interdepartmental collaboration.
We digitize documentation processes by seamlessly integrating critical tools and forms like the Norton scale, Morse Fall scale, specimen job-sheets, ventilator surveillance form, central line surveillance form, and the post-registration certificate course project into the Clinical Management System or Clinical Information System (CIS). This transformation from paper-based to electronic documentation significantly reduces paper consumption and streamlines documentation.
Through meticulous analysis, we identify and eliminate unnecessary patient documents, including fast-track patient assessment records, patient satisfaction surveys, microbiology records, and various CIS printouts. These streamlining efforts save time and enhance care quality.
Additionally, we replace traditional signage and handwritten notes on whiteboards with electronic bedhead panels and digital whiteboards, simplifying admission and discharge procedures while eliminating paper-based communication. This enhances efficiency and interdepartmental coordination in the ICU.
Result & Outcome :
The LGI saves approximately 30,000 papers and 60 ink cartridges annually. Integration of Lean principles automates data generation for three documents and eliminates six, streamlining workflow. With an average patient stay of five days and 736 annual admissions, our initiative reduces waste and optimizes resource usage.
The LGI demonstrates the successful integration of lean and green design principles. Substantial savings in paper and ink consumption showcase our commitment to waste reduction. Automation and the elimination of unnecessary documentation enhance care quality. The initiative sets a blueprint for efficiency and sustainability in healthcare, optimizing operations, and minimizing the environmental footprint.
