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Improving surgical patient flow in a congested recovery area

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dc.contributor.advisor Retsef Levi and David Simchi-Levi. en_US
dc.contributor.author Schwartz, Trevor A en_US
dc.contributor.other Leaders for Global Operations Program. en_US
dc.coverage.spatial n-us-ma en_US
dc.date.accessioned 2012-09-27T15:30:42Z
dc.date.available 2012-09-27T15:30:42Z
dc.date.copyright 2012 en_US
dc.date.issued 2012 en_US
dc.identifier.uri http://hdl.handle.net/1721.1/73415
dc.description Thesis (M.B.A.)--Massachusetts Institute of Technology, Sloan School of Management; and, (S.M.)--Massachusetts Institute of Technology, Dept. of Mechanical Engineering; in conjunction with the Leaders for Global Operations Program at MIT, 2012. en_US
dc.description Cataloged from PDF version of thesis. en_US
dc.description Includes bibliographical references (p. 63). en_US
dc.description.abstract The recent movement in healthcare reform requires hospitals to care for more patients while simultaneously reducing costs. Medical institutions can no longer afford to simply add beds and hire staff to increase capacity. They must use existing resources more effectively and develop innovative solutions to increase capacity. This project focuses on the redesign of surgical patient flow through multiple Post-Anesthesia Care Units (PACUs) at Massachusetts General Hospital (MGH). The PACU is where surgical patients recover following their procedure that takes place in the Operating Room (OR) suite. Some patients experience delays when leaving the OR due to the lack of a staffed PACU bed. These patients begin the recovery process in the OR which causes delays for to-follow cases. In addition, the OR nursing staff rather than a PACU nurse must monitor recovery, which drives higher costs and frustrates staff members. Therefore this study examined the sources of delay and sought to redesign the flow of surgical patients through the PACUs. Our main recommendation is to incorporate a "Fast Track" for the outpatient population that eliminates delays and expedites outpatient processing in the PACU. Segregating the outpatients and implementing the one-stop "Fast Track" recovery process will reduce average outpatient PACU length of stay (length of stay) by 27%, the equivalent of adding 1.8 beds of capacity. Through the application of operations management techniques, we can decrease the patient processing time or length of stay in the PACU, which in turn increases throughput and creates additional capacity. en_US
dc.description.statementofresponsibility by Trevor A. Schwartz. en_US
dc.format.extent 63 p. en_US
dc.language.iso eng en_US
dc.publisher Massachusetts Institute of Technology en_US
dc.rights M.I.T. theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. See provided URL for inquiries about permission. en_US
dc.rights.uri http://dspace.mit.edu/handle/1721.1/7582 en_US
dc.subject Sloan School of Management. en_US
dc.subject Mechanical Engineering. en_US
dc.subject Leaders for Global Operations Program. en_US
dc.title Improving surgical patient flow in a congested recovery area en_US
dc.type Thesis en_US
dc.description.degree S.M. en_US
dc.description.degree M.B.A. en_US
dc.contributor.department Sloan School of Management. en_US
dc.contributor.department Massachusetts Institute of Technology. Dept. of Mechanical Engineering. en_US
dc.contributor.department Leaders for Global Operations Program. en_US
dc.identifier.oclc 810337427 en_US


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