Download e-book for iPad: Applying Lean in Healthcare: A Collection of International by Joe Aherne, John Whelton

By Joe Aherne, John Whelton

ISBN-10: 1439827397

ISBN-13: 9781439827390

Typically entrenched and systemic, healthcare difficulties require this sort of accomplished options which could basically be addressed by means of a transformation in tradition and a shift in thinking. Applying Lean in Healthcare: a suite of overseas Case stories demonstrates how sincere appraisal, clever making plans, and vigilant follow-up have ended in dramatic advancements in a number of healthcare settings the world over. It teaches us how cutting edge companies can locate sustainable strategies to possible intractable difficulties by way of following a direction guided via Lean considering. Lean tools won't remedy each healthcare challenge, yet as those situations turn out, altering a tradition instead of group of workers leads to better sustainable change.

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Sample text

Today’s Work Today The most recent improvement has been to bring the secretary down to the clinic so that letters are typed on the same day. To implement this improvement, the doctor now dictates the letter immediately after the patient has left, and passes the notes and tape to the secretary. The secretary then types the letter and returns it for checking and signing. At the end of the clinic’s day, the completed letters are put in the post and the notes are returned to the medical records library.

6 Schematic layout of the new one-stop vascular clinic. The co-location of the doctors, nurses, and technologists in a work cell design ensures that everyone can move quickly from one room to another. Combined with the level schedule, there is almost no need for a waiting room. I subsequently learned that we had, in effect, designed a work cell that reduced the transport and motion waste inherent in the original clinic. 36 • Applying Lean in Healthcare Multiskilling Since moving to the new facility, we have implemented further incremental changes.

The changes freed 28 • Applying Lean in Healthcare clinic time that could be reinvested in seeing new patients and reduced the time from referral to treatment. The change cost nothing other than a bit of negotiation. Second Cycle of Change (2001–2003) Following the implementation of the one-stop clinic, the next big complaint on our list was the poor communication we had with the district nurses who worked in the general practitioner (GP) practices and Â�community-based clinics. It was the community nurses who provided the majority of the care for patients with leg ulcers, and they too experienced considerable problems in communicating with the specialist wound care nurses based at the hospital.

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Applying Lean in Healthcare: A Collection of International Case Studies by Joe Aherne, John Whelton


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