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PubMed · 15167421

Work flow analysis: eliminating non-value-added work.

Terry Capuano·Joanna Bokovoy·Deborah Halkins·Kim Hitchings
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Abstract

OBJECTIVE: To evaluate the impact of implemented work environment changes on nursing and support staff roles. BACKGROUND: In 1999, the authors identified key drivers of unnecessary work associated with the day-to-day delivery of patient care in their institution and implemented changes based on their results. METHODS: Both quantitative and qualitative methods were used. Work sampling and focus groups were used to evaluate work flow. Activity categories were identified and clearly defined by advanced practice nurses. All compiled data were subsequently synthesized and cross-checked with the information acquired through independent, multidisciplinary validation studies. RESULTS: There were significant changes (P <.0001) noted in overall distribution of observed activities for nurses and all support staff. CONCLUSIONS: The significant changes noted in overall distribution of observed activities reflect the important adjustments made in both job descriptions and the environment to eliminate key drivers of unnecessary work in the delivery of patient care.

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Attitude of Health PersonnelEfficiency, OrganizationalErgonomicsFocus GroupsHealth Facility EnvironmentHospital RestructuringHumansNurse's RoleNursing Administration ResearchNursing Methodology ResearchNursing Staff, HospitalOrganizational InnovationOutcome and Process Assessment, Health CarePatient SatisfactionPennsylvaniaPersonnel Staffing and SchedulingTime and Motion StudiesTotal Quality ManagementWork SimplificationWorkloadWorkplaceJournal Article

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Terry Capuano, Joanna Bokovoy, Deborah Halkins, Kim Hitchings. 2004. Work flow analysis: eliminating non-value-added work.. https://doi.org/10.1097/00005110-200405000-00008

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