Lean methodology in health care

RI Cohen - Chest, 2018 - Elsevier
To improve the delivery of patient care, governments and health-care institutions adopted
quality improvement methods that had been developed decades earlier in manufacturing …

The sustainability of Lean in pediatric healthcare: a realist review

R Flynn, AS Newton, T Rotter, D Hartfield, S Walton… - Systematic reviews, 2018 - Springer
Background Lean is a quality improvement management system from the Toyota
manufacturing industry. Since the early 2000's, Lean has been used as an intervention for …

Lean and leadership practices: development of an initial realist program theory

D Goodridge, G Westhorp, T Rotter, R Dobson… - BMC health services …, 2015 - Springer
Background Lean as a management system has been increasingly adopted in health care
settings in an effort to enhance quality, capacity and safety, while simultaneously containing …

A realist evaluation to identify contexts and mechanisms that enabled and hindered implementation and had an effect on sustainability of a lean intervention in …

R Flynn, T Rotter, D Hartfield, AS Newton… - BMC health services …, 2019 - Springer
Abstract Background In 2012, the Saskatchewan Ministry for Health mandated a system-
wide Lean transformation. Research has been conducted on the implementation processes …

Releasing operating room nursing time to care through the reduction of surgical case preparation time: A lean six sigma pilot study

P Egan, A Pierce, A Flynn, SP Teeling, M Ward… - International Journal of …, 2021 - mdpi.com
Healthcare systems internationally are working under increasing demand to use finite
resources with greater efficiency. The drive for efficiency utilises process improvement …

Nurse managers implementing the lean management system: A qualitative study in Western Canada

SA Udod, JB Duchscher, D Goodridge… - Journal of nursing …, 2020 - Wiley Online Library
Aim This study explores the perceptions and experiences of nurse managers involved in
implementing the Lean management system in a Western Canadian province. Background …

Second-opinion interpretations of gynecologic oncologic MRI examinations by sub-specialized radiologists influence patient care

Y Lakhman, M D'Anastasi, M Miccò, C Scelzo… - European …, 2016 - Springer
Purpose To determine if second-opinion review of gynaecologic oncologic (GynOnc)
magnetic resonance imaging (MRI) by sub-specialized radiologists impacts patient care …

An economic analysis of a system wide Lean approach: cost estimations for the implementation of Lean in the Saskatchewan healthcare system for 2012–2014

N Sari, T Rotter, D Goodridge, L Harrison… - BMC health services …, 2017 - Springer
Background The costs of investing in health care reform initiatives to improve quality and
safety have been underreported and are often underestimated. This paper reports direct and …

Using lean process improvement to enhance safety and value in orthopaedic surgery: the case of spine surgery

R Sethi, V Yanamadala, DC Burton… - JAAOS-Journal of the …, 2017 - journals.lww.com
Lean methodology was developed in the manufacturing industry to increase output and
decrease costs. These labor organization methods have become the mainstay of major …

[HTML][HTML] Participatory Modeling with Discrete-Event Simulation: A Hybrid Approach to Inform Policy Development to Reduce Emergency Department Wait Times

Y Tian, J Basran, J Stempien, A Danyliw, G Fast… - Systems, 2023 - mdpi.com
We detail a case study using a participatory modeling approach in the development and use
of discrete-event simulations to identify intervention strategies aimed at reducing emergency …