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Bättre flyt på opererande verksamheter: Teamdeltagarnas uppfattningar om att arbeta med Genombrottsmetoden
Karlstad University, Division for Health and Caring Sciences.
Karlstad University, Division for Health and Caring Sciences.
2010 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Better flow in operating theatres : The team participants opinions about working with the Breakthrough Series Model (English)
Abstract [sv]

Introduktion: Svårigheter för vårdgivarna att hålla vårdgarantin var utgångspunkten för Sveriges Kommuner och Landsting (SKL) och Västra Götalandsregionen när de startade Genombrottsprojektet, ”Bättre flyt i opererande verksamheter”, det första som endast omfattade opererande verksamheter. Femton team från operationsavdelningar från hela landet deltog. Projektet pågick under år 2008. Alla team skulle uppnå resultatmålen att minst 90 % av patienterna opererades på första utlovade operationsdag och att 100 % av operationerna skulle starta på utsatt tid. Dessutom formulerade teamen egna processmål och balanserade mål. Syftet med studien var att beskriva teamdeltagarnas uppfattningar om att arbeta med genombrottsmetoden i opererande verksamheter. Metod: En totalundersökning där samtliga teamdeltagare i projektet (n=95) fick en webbenkät omfattande områdena resultat- och processmål, din arbetsplats, resultat och reflektioner. Resultat: Enkäten besvarades av 55

(58 %) teamdeltagare. Trettien redovisade att de nådde sina resultatmål under projekttiden. Processmålet operationsstart på utsatt tid nåddes helt eller delvis av 45 teamdeltagare och 32 lyckades minska bytestiderna. Tjugoen teamdeltagare uppgav att flera patienter per dag kunde opereras och 14 redovisade att de höll vårdgarantin efter projekttiden. De flesta teamdeltagarna ansåg att förankringen av projektet i personalgruppen fungerade bra, liksom stödet från handledarna. Att få tillräckligt med tid för möten, bemanningen på avdelningen och ledningens engagemang fungerade sämre. Avsaknad av ledningens stöd ledde till minskad motivation för förbättringsarbete. Teamdeltagarna ansåg vidare att Genombrottsmetoden var strukturerad och pedagogisk. Den gav helhetssyn på processer och reducerade dubbelarbete. Arbetsmiljön blev bättre. Konklusion: Teamdeltagarna ansåg att Genombrottsmetoden är användbar för att förbättra patientflödet och vårdkvaliteten på en operationsavdelning.

Abstract [en]

Introduction: Difficulties for the caregivers to keep the national health care guarantee was the starting point for the Swedish Association of Local Authorities and Regions (SALAR) and The Västra Götaland Region when they started the project “Better flow in operating theatres”, based on the Breakthrough Series Model. Fifteen teams from operating theatres from the whole country participated. The project went on in 2008. All teams should achieve the result goals that at least 90 % of the patients should be operated on the day they were promised and 100 % of the operations should start in right time. In addition process goals and balanced goals were formulated by the teams. Purpose: The purpose of the study was to describe the team participants’ opinions about working with the Breakthrough Series Model in operating theatres. Method: All team participants (n=95) in the project received a questionnaire consisting of result- and process goals, your working place, results and reflections.

Results: Fifty-five (58 %) of the team participants answered the questionnaire. Thirty-one of them achieved their result goals during the project time. Forty-five of the team participants achieved the process goal “operation start in right time” and 32 succeeded in decreasing turnover time. Twenty one of the team participants described that throughput increased and 14 were able to keep the national health care guarantee after the project time.  Most of the team participants considered that the support from the staff worked well, as well as the support from the supervisors. On the other hand there was not enough time for meetings, not enough staffing and the management commitment was not so good. The motivation for improvement work decreased due to lack of management support. The team participants considered the Breakthrough Series Model as systematic and educational. They also attained a comprehensive view of processes and reduced their work load. The work environment became better. Conclusion: The team participants thought that the Break through Series Model is a useful method for improving patient throughput and quality of care in an operating theatre.

Place, publisher, year, edition, pages
2010. , p. 25
Series
ArbetsrapportIKU-rapport, ISSN 1651-2138
Keywords [en]
Breakthrough Series Model, improvement work, operating theatre, quality
Keywords [sv]
Förbättringsarbete, genombrottsmetoden, kvalitet, operationsavdelning
Identifiers
URN: urn:nbn:se:kau:diva-5545OAI: oai:DiVA.org:kau-5545DiVA, id: diva2:310006
Presentation
2010-02-01, 00:00 (Swedish)
Uppsok

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Available from: 2010-06-18 Created: 2010-04-12 Last updated: 2010-06-18Bibliographically approved

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