Applying Lean Principles to Improve or Efficiency
Keywords:
LEAN, efficiency, OR turnaround time, continuous improvementAbstract
LEAN is a set of operating philosophies and methods that, when applied to the healthcare setting, can help create maximum value for patients by reducing waste and unnecessary waits. An emphasis is placed on the customers’ needs, employee involvement and continuous improvement.1For the purposes of this article the customer is the patient.
In April 2017 the Adult Surgery Program at the IWK Health Centre was involved in a comprehensive initiative to help improve efficiency in the Adult Surgery OR. Using LEAN principles, the patient’s surgical journey was examined closely by a multidisciplinary team where, multiple initiatives were identified. One of the first initiatives explored was the turnaround time between OR cases. By integrating LEAN methods in workflow, improvements in turnaround times were recognized.
References
Lean Manufacturing Tools. Lean Manufacturing Tools, Principles, and implementation. [Cited October 2020]. Available from: http://leanmanufacturingtools.org/
Lean Enterprise Institute. What is lean? The Lean Post. [Cited October 2020]. Available from: https://www.lean.org/whatslean/
Go Lean Six Sigma. 8 Wastes. [Cited October 2020] Available from https://goleansixsigma.com/8-wastes/
IWK Health Centre. About Us. [Cited October 2020]. Halifax, Nova Scotia. 2020. Available from: http://www.iwk.nshealth.ca/about-us
Kanbanize. What is a pull system? Details and Benefits. [Cited October 2020]. Available from: https://kanbanize.com/lean-management/pull/what-is-pull-system
Blouin-Delise CH, Drolet R, Gagnon S, Turcott S. Improving flow in the OR. How lean process studies can lead to shorter stays in the recovery ward. International Journal of Health Care Quality Assurance. 2018;31(2): 150-161.
Cerfolio, RJ, Ferrari-Light, D, Ren-Fielding, C. Improving Operating Room Turnover Time in a New York City Academic Hospital via Lean. The Annals of Thoracic Surgery. 2019;107(4):1011-6.
Coffey CJ, Cho ES, Wei E, Luu A, Ho M, Amaya R, et al. Lean Methods to improve operating room elective first case on-time starts in a large, urban, safety net medical center. Am J Surg. 2018 Aug;216(2):194-201.