Cardiac Catheterization Labs May Be More Efficient With Quality Improvement Initiative

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Start times at the cath lab improved an average of 17 minutes after implementing the quality improvement initiative.
Start times at the cath lab improved an average of 17 minutes after implementing the quality improvement initiative.

HealthDay News — A quality improvement intervention can reduce inefficiencies in the cardiac catheterization lab, according to a study published in the Journal of the American College of Cardiology: Cardiovascular Interventions.

Grant W. Reed, MD, from the Cleveland Clinic in Ohio, and colleagues performed an observational study to report metrics of efficiency before and after implementation of a cath lab quality improvement program in June 2014, which included implementation of a pyramidal nursing schedule, increased use of an electronic scheduling system, and increased utilization of a prep/recovery area.

The researchers found that from before to after the intervention, start times improved an average of 17 minutes and on-time starts improved from 61.8% to 81.7% (P =.0024). In addition, turn-around times improved from 20.5 minutes to 16.4 minutes (trend<.0001), and the proportion of days at full lab utilization improved from 7.7% to 77.3% (P <.00001). No increases in overtime, night, or weekend cases were seen. However, there was a reduction in full-time employees during the study period (from 36.1 in 2013 to 29.6 in 2016), with an improvement in employee satisfaction during the same period.

"This knowledge may be helpful in assisting other cath labs in similar efficiency improvement initiatives," concluded the authors.

Reference

Reed GW, Hantz S, Cunningham R, et al. Operational efficiency and productivity improvement initiatives in a large cardiac catheterization  laboratory [published online January 25, 2018]. JACC Cardiovasc Interv. doi:10.1016/j.jcin.2017.09.025

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