Improving the quality of Emergency Department care by removing waste using Lean Value Stream mapping

International Journal of Clinical Leadership

Volumn 17, Issue 1, 2011, Pages 25-30

  Cookson, David ^a   Read, Colin ^a   Mukherjee, Pro ^a   Cooke, Matthew ^b  

^a UNIVERSITY HOSPITALS OF LEICESTER NHS TRUST   (United Kingdom)

^b UNIVERSITY OF WARWICK   (United Kingdom)

Author keywords

Emergency department; Lean thinking; Process mapping; Value stream; Waste

Indexed keywords

ARTICLE; EMERGENCY WARD; HEALTH CARE; HEALTH CARE QUALITY; LEAN THINKING; LEAN VALUE STREAM MAPPING; NURSE; PATIENT ASSESSMENT; PATIENT CARE; PATIENT WAITING; PERFORMANCE; PRIORITY JOURNAL; STAFF; WORK ENVIRONMENT; WORKFLOW;

EID: 79956150546     PISSN: 1757207X     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (14)

1. Ben-Tovim DI, Bassham JE, Bennett DM, Dougherty ML, Martin MA, O'Naill SJ, Sincock JL and Szwarcbord MG. (2008) Redesigning care at the Flinders Medical Centre: clinical process redesign using 'lean thinking'. Medical Journal of Australia 188:S27-31.
2. Bhasin S and Burcher P. (2006) Lean viewed as a philosophy. Journal of Manufacturing Technology Management 17(1): 56-72.
3. Bicheno J. (2008) The Lean Toolbox for Service Systems. Buckingham: PICSIE Associates.
4. Cooke M, Wilson S and Pearson S. (2002) The effect of a separate stream for minor injuries on accident and emergency department waiting times. Emergency Medicine Journal 19(1):28-30.
5. Department of Health (2010) The NHS Quality, Innovation, Productivity and Prevention Challenge: An Introduction for Clinicians. London: Department of Health. Available from: www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_113809 (accessed 17 May 2010).
6. Highways Agency (n.d.) Active Traffic Management. Available from: www.highways.gov.uk/knowledge/1334.aspx (accessed 17 May 2010).
7. Jones DT and Mitchell A. (2006) Lean Thinking for the NHS. London: NHS Confederation. Available from: www.nhs confed.org/Publications/reports/Pages/Leanthinking. aspx (accessed 17 May 2010).
8. King DL, Ben-Tovim DI and Bassham J. (2006) Redesigning emergency department patient flows: application of Lean Thinking to health care. Emergency Medicine Australasia 18(4):391-7.
9. NHS Institute for Innovation and Improvement (2010) The Productive Ward: Releasing Time to Care, Learning and Impact Review, Final Report. Warwick: NHS Institute for Innovation and Improvement. Available from: www. institute.nhs.uk/images//documents/Quality_and_value/Productive_Ward/PW%20review%20full%20report.pdf (accessed 16 February 2010).
10. Randor Z, Walley P, Stephens A and Bucci G. (2006) Evaluation of the Lean Approach to Business Management and Its Use in the Public Sector. Edinburgh, The Scottish Government. Available from: www.scotland.gov.uk/ Resource/Doc/129627/0030899.pdf (accessed 3 December 2009).
11. Ward S. (2006) Thinking Lean. Health Service Review 65:1213.
12. WestwoodNand Silvester K. (2007) Eliminate NHSlosses by adding some Lean and some Six Sigma. Operations Management 5: 26-30.
13. Westwood N, James-Moore M and Cooke M.W. (2006) Going Lean in the NHS. Warwick: NHS Institute for Innovation and Improvement.
14. Womack JP and Jones DT. (2003) Lean Thinking. Banish Waste and Create Wealth in Your Corporation. London: Simon & Schuster.