Improving health care for stroke patients. Reorganizing a stroke unit applying Lean methodology.
In 2009 stroke care in the University Hospital of Northern Norway was reorganized. Until that year the hospital provided stroke care in two separate locations: patients 75 years and older were treated in the Geriatric Unit of the Medical Department while those younger were treated in the Neurologica...
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UiT Norges arktiske universitet
2014
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ftunivtroemsoe:oai:munin.uit.no:10037/6701 2023-05-15T17:43:29+02:00 Improving health care for stroke patients. Reorganizing a stroke unit applying Lean methodology. Nissen, Ane Igland 2014-06-02 https://hdl.handle.net/10037/6701 eng eng UiT Norges arktiske universitet UiT The Arctic University of Norway https://hdl.handle.net/10037/6701 URN:NBN:no-uit_munin_6302 openAccess Copyright 2014 The Author(s) VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Nevrologi: 752 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Neurology: 752 MED-3950 Master thesis Mastergradsoppgave 2014 ftunivtroemsoe 2021-06-25T17:54:01Z In 2009 stroke care in the University Hospital of Northern Norway was reorganized. Until that year the hospital provided stroke care in two separate locations: patients 75 years and older were treated in the Geriatric Unit of the Medical Department while those younger were treated in the Neurological Department. Waiting times in the emergency unit were long, especially for the older patients. With the objective of reducing waiting times and offering equal service to all patients, reorganization by merging the two stroke units into one acute stroke unit was carried out. Lean methodology was applied in this process. This thesis presents and evaluates the effect of the reorganization. A medical record review of patients admitted before and after the reorganization was performed. The main findings were reductions in waiting time for CT scans and for first doctor’s visit for the geriatric patients. Furthermore, the proportion of patients receiving thrombolytic therapy increased. No major differences could be found concerning duration of hospitalization or discharge location. Thus, some of the objectives for the reorganization were achieved, while others were not. Master Thesis Northern Norway University of Tromsø: Munin Open Research Archive Norway |
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Open Polar |
collection |
University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
topic |
VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Nevrologi: 752 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Neurology: 752 MED-3950 |
spellingShingle |
VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Nevrologi: 752 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Neurology: 752 MED-3950 Nissen, Ane Igland Improving health care for stroke patients. Reorganizing a stroke unit applying Lean methodology. |
topic_facet |
VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Nevrologi: 752 VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Neurology: 752 MED-3950 |
description |
In 2009 stroke care in the University Hospital of Northern Norway was reorganized. Until that year the hospital provided stroke care in two separate locations: patients 75 years and older were treated in the Geriatric Unit of the Medical Department while those younger were treated in the Neurological Department. Waiting times in the emergency unit were long, especially for the older patients. With the objective of reducing waiting times and offering equal service to all patients, reorganization by merging the two stroke units into one acute stroke unit was carried out. Lean methodology was applied in this process. This thesis presents and evaluates the effect of the reorganization. A medical record review of patients admitted before and after the reorganization was performed. The main findings were reductions in waiting time for CT scans and for first doctor’s visit for the geriatric patients. Furthermore, the proportion of patients receiving thrombolytic therapy increased. No major differences could be found concerning duration of hospitalization or discharge location. Thus, some of the objectives for the reorganization were achieved, while others were not. |
format |
Master Thesis |
author |
Nissen, Ane Igland |
author_facet |
Nissen, Ane Igland |
author_sort |
Nissen, Ane Igland |
title |
Improving health care for stroke patients. Reorganizing a stroke unit applying Lean methodology. |
title_short |
Improving health care for stroke patients. Reorganizing a stroke unit applying Lean methodology. |
title_full |
Improving health care for stroke patients. Reorganizing a stroke unit applying Lean methodology. |
title_fullStr |
Improving health care for stroke patients. Reorganizing a stroke unit applying Lean methodology. |
title_full_unstemmed |
Improving health care for stroke patients. Reorganizing a stroke unit applying Lean methodology. |
title_sort |
improving health care for stroke patients. reorganizing a stroke unit applying lean methodology. |
publisher |
UiT Norges arktiske universitet |
publishDate |
2014 |
url |
https://hdl.handle.net/10037/6701 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Northern Norway |
genre_facet |
Northern Norway |
op_relation |
https://hdl.handle.net/10037/6701 URN:NBN:no-uit_munin_6302 |
op_rights |
openAccess Copyright 2014 The Author(s) |
_version_ |
1766145581010386944 |