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Table 3 Medical Oncology

From: Exploring types of focused factories in hospital care: a multiple case study

Unit

1

2

3

4

5

6

Organizational context

      

Focusing decisions/operations strategy

Focus on patient centeredness and access/waiting times

Maximizing utilization/access times

Focus on patients' safety and prevention of claims/long opening hours to allow patients to come after work/short access times.

Standardized procedures

Yes

Yes

Yes

Yes

Yes

Yes

Dedicated lay-out

Yes, only suitable for medication related treatments

Yes, only suitable for medication related treatments

Yes, only suitable for medication related treatments

Yes, special air ventilation etc for bone marrow patients

Yes, only suitable for medication related treatments

Yes, only suitable for medication related treatments

Planning routine:

      

   1 Occupancy times of beds

No, calculated workload is based on this information

Yes

Yes

   2 Insight into available beds at a certain moment

No

Yes

No

   3 Workload

Yes, total work-load of the day is calculated, not workload at a specific time

Manually checked by head nurse.

Done manually

   4 Planning is visualized

No

Yes

Yes

   5 Relative importance of experience for the planning

High

Moderate/low

High

Team composition

Stable

Rotational shift with other department(s)

Stable

Degrees of focus

      

Product focus

85%

85%

78%

85%

85%

100%

Process focus

78%

78%

83%

83%

83%

83%

Operational performance

      

Indexed average number of patients treated per bed per month (not corrected for differences in opening hours)

44

100

77

Indexed average number of patient visits per month per total CDU staff

58

100

44

  1. Indexed = the best performing CDU received a score of 100, the other CDU received a relative score compared to the best performing CDU. Table partly based on [43]