Document Detail

Benchmarking, benchmarks, or best practices? Applying quality improvement principles to decrease surgical turnaround time.
MedLine Citation:
PMID:  9192578     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The processes of benchmarking, benchmark data comparative analysis, and study of best practices are distinctly different. The study of best practices is explained with an example based on the Arthur Andersen & Co. 1992 "Study of Best Practices in Ambulatory Surgery". METHODS: The results of a national best practices study in ambulatory surgery were used to provide our quality improvement team with the goal of improving the turnaround time between surgical cases. The team used a seven-step quality improvement problem-solving process to improve the surgical turnaround time. RESULTS: The national benchmark for turnaround times between surgical cases in 1992 was 13.5 minutes. The initial turnaround time at St. Joseph's Medical Center was 19.9 minutes. After the team implemented solutions, the time was reduced to an average of 16.3 minutes, an 18% improvement. Cost-benefit analysis showed a potential enhanced revenue of approximately $300,000, or a potential savings of $10,119. CONCLUSIONS: Applying quality improvement principles to benchmarking, benchmarks, or best practices can improve process performance. Understanding which form of benchmarking the institution wishes to embark on will help focus a team and use appropriate resources. Communicating with professional organizations that have experience in benchmarking will save time and money and help achieve the desired results.
L Mitchell
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Best practices and benchmarking in healthcare : a practical journal for clinical and management application     Volume:  1     ISSN:  1085-0635     ISO Abbreviation:  Best Pract Benchmarking Healthc     Publication Date:    1996 Mar-Apr
Date Detail:
Created Date:  1997-07-01     Completed Date:  1997-07-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9605850     Medline TA:  Best Pract Benchmarking Healthc     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  70-4     Citation Subset:  N    
St. Joseph's Regional Health System, Stockton, CA, USA.
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MeSH Terms
Ambulatory Surgical Procedures / economics,  standards*,  utilization
Cost Savings
Cost-Benefit Analysis
Length of Stay*
Management Quality Circles
Problem Solving
Software Design
Surgery Department, Hospital / standards,  utilization
Time and Motion Studies
Total Quality Management / methods*,  organization & administration

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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