Applying Lean principles to create a high throughput mass COVID-19 vaccination site

BMJ Open Quality

article

Meghan N Froman¹  Matthew P Walser¹  Michael Lauzardo¹  Mark Graban²  Frederick S Southwick¹ 

[1] Department of Medicine , University of Florida College of Medicine;Lean Enterprise Institute

关键词: COVID-19;    vaccination;    continuous quality improvement;    control charts/run charts;    lean management;   

DOI  :  10.1136/bmjoq-2021-001617

学科分类：药学

来源: BMJ Publishing Group

【 摘 要 】

A high throughput COVID-19 vaccination site was created using Lean principles and tools. Mass-vaccination sites can achieve high output by creating a standard physical design for workspaces and standardised work protocols, and by timing each step in the vaccination process to create a value stream map that can identify and remove all wasteful steps. Reliability of the vaccination process can be assured by creating a visual checklist that monitors the individual steps as well as by building in second checks by downstream personnel. Finally, productivity can be closely monitored by recording the start and completion time for each vaccination and plotting run charts. With 78 personnel working efficiently and effectively together, a maximum throughput of 5024 injections over 10 hours was achieved. As compared with other published COVID-19 mass-vaccination sites, our site attained threefold–fourfold higher productivity. We share our approach to encourage others to reproduce our vaccination system.COVID-19vaccinationcontinuous quality improvementcontrol charts/run chartslean managementData availability statementAll data relevant to the study are included in the article or uploaded as supplementary information.http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

【 授权许可】

CC BY-NC|CC BY|CC BY-NC-ND