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Using The 5s Methodology To Improve Efficiency, Maintain Organization, And Analyze Cost-effectiveness Of A Trauma Resuscitation Bay At A Level I Trauma Center
*Jency Philipose, *Laura J. LaMaina, *Jennifer Zapke, *Danielle Sargeant, Chris Boukas, *Francesca Bullaro
Cohen Children's Medical Center, New Hyde Park, NY

Background:  Pediatric Level I Trauma Centers are required to have immediate availability of resources necessary to stabilize traumatic injuries.  Maintaining organization helps improve the efficiency of the trauma resuscitation room (TRR).  A 5S Methodology was used to create a well-organized workspace and help reduce waste.Methods:  At Cohen Children’s Medical Center, a Pediatric Level I Trauma Center in New York, barriers were identified in the organization of the TRR by the administration of a survey. The Sort, Set in Order, and Shine phases focused on the development of strategies to improve efficiency and maintain organization.  During the Standardize phase, staff were educated on the new changes. The Sustain phase included log sheet audits and a post-implementation survey.  A final cost-analysis was evaluated upon completion.Results:  Barriers identified from the survey included lack of clear checklists (45%), prolonged time to completion of tasks (32%), and lack of assistance with conducting checks and restocking (23%).   Core and peripheral strategies were created that consisted of relocation of large items, removal of visual distractions, color-coded primary and secondary survey organization of supplies, and standardization of log sheets.  Cost-analysis summary identified 130 overstocked items equaling a total cost of $4,026.82.   The new par levels equated to a 30% decrease in the overall required items in the TRR for a total savings of $3,079.Conclusions:  Understanding barriers to maintaining organization of our TRR enabled us to develop targeted strategies to improve our workspace.  The 5S process resulted in significant cost savings.


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