Introducing Rapid Change Escalades to Adjust Organisational Issues in Clinical Practice

Author Info

Gerit Kulik Daniele Paccaud Laurie Perey Mario Hamelin Eva Renon Siheme Zouggagh Anne Nowicki Alexandre Lopes Freire Lorry Duchoud Eric Damian Kaba Cissoko Julien Chevalley Frederic Cartiser Christian Simon

Corresponding Author

Gerit Kulik
Medical Directorate, Lausanne University Hospital, Lausanne, Switzerland

A B S T R A C T

Background: Running clinical facilities implies facing many challenges, as neat time management and fluid care processes. A method that warrants small changes and an interconnected and collaborative proceeding is convenient for adjusting clinical processes and avoiding unwanted side effects. From an organizational perspective, a smooth clinical process translates also into a levelled occupation of team members as reflected by over-time and absenteeism. Methods: The policlinic nurse team introduced weekly mini-huddles of maximum 15 minutes to discuss work organizational issues, with structured access to collaborating professionals and their hierarchies. The team selected the topic of patients presenting without a planned appointment. Nurse’s over-time stock and absenteeism were assessed before and after the intervention. Results: The clinical process had six steps, of which the patient’s waiting room period was transformed into a nurse’s evaluation and triage period followed by a transmission note to the physician. The new process decreased the average stock of nurse’s team over-time from 65.5 to 46.8 hours (-29%), and the nurse’s absenteeism from 4.6 % to 1.97 % (-57%). Conclusion: By cautious and collaborative proceeding, and the choice of an earnest issue by front nurses, we levelled the nurse’s workload and pleased patients and professional teams.

Article Info

Article Type

Research Article

Publication history

Received: Fri 16, Jul 2021
Accepted: Mon 02, Aug 2021
Published: Mon 30, Aug 2021

Copyright

© 2023 Gerit Kulik. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.SCR.2021.08.13