Increasing Capacity at Art Clinic by Reducing Variation
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Författare
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Examensarbete för masterexamen
Master's Thesis
Master's Thesis
Modellbyggare
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Sammanfattning
This study investigates the current capacity and limiting factors at the knee and hip replacement
surgery process at Art Clinic, with the aim of identifying bottlenecks and proposing
improvements to increase surgical throughput. Using a mixed method approach, quantitative
data analysis is combined with qualitative observations and interviews.
The clinic currently performs eight surgeries per day, with two primary bottlenecks identified:
the operating room and the sterile processing room. Operating room inefficiencies stem from
high variation in surgical duration, longer setup times for hip replacements and idle time caused
by scheduling misalignment. The sterile processing room is limited by the capacity of the
autoclaves, limiting the number of knee surgeries to six per day due to the number of
instruments. In addition, the postoperative ward was identified as a potential limiting factor
depending on daily demand and bed availability
To address these issues, the study recommends: (1) Reducing variation through subgroup
analysis and improved planning, (2) Optimizing patient readiness to minimize idle time, (3)
Enhancing learning and knowledge sharing, (4) Reducing the number of instruments and
improving planning in the sterile processing room and (5) Reassessing the bed capacity in the
PACU (post anesthesia care unit) due to an imbalance between the PACU and postoperative
ward capacity.
Beskrivning
Ämne/nyckelord
Capacity in Healthcare, Process Variation, Organizational Learning, DMAIC, Standardization, Bottleneck Analysis, Six Sigma