We congratulate your team for your initiative to improve healthcare delivery to stroke patients1. The participation of multidisciplinary staff working at Gemba (where the work is done) is an excellent approach, discussing the strengths and weaknesses of care delivery, anticipating threats and looking for opportunities. We agree entirely with your views on quick-fixes, which may create work-arou...

Emergency departments (EDs) face problems with crowding, delays, cost containment, and patient safety. To address these and other problems, EDs increasingly implement an approach called Lean thinking. This study critically reviewed 18 articles describing the implementation of Lean in 15 EDs in the United States, Australia, and Canada. An analytic framework based on human factors engineering and...

Hospitals will be expected to work more efficiently in the upcoming years due to several factors, one of which is aging population groups. Meanwhile, healthcare resources are dwindling, as is the amount of available personnel. This paper examines interviews and questionnaires that were conducted to assess the experiences and effects of Lean implementation in two university hospitals. Several fa...

Building Information Modeling (BIM) and Lean Thinking have been used separately as key approaches to overall construction projects’ improvement. Their combination, given several scenarios, presents opportunities for improvement as well as challenges in implementation. However, the exploration of eventual interactions and relationships between BIM as a process and Lean Construction principles is...

Introduction. Old hospitals may promote inefficient patient care processes and safety. A new, functionally planned hospital presents a chance to create an environment that supports streamlined, patient-centered healthcare processes and adapts to users' needs. This study depicts the phases of a facility planning project for pregnant women and newborn care processes (beginning of life process) at...

Abstract Objective: In this article, the methods used to simplify business modelling and founding of new companies are presented critically reflected. Furthermore, it is discussed what extent a specific method advantageous, disadvantageous, applicable, not or even contradictory. Methodology: The theoretical analysis underpinned by qualitative interview study asking company founders about applyi...

PURPOSE This purpose of this paper is to examine the application and outcomes of applying all of the seven lean flows to pathology laboratory remodelling as part of a lean rapid improvement event (RIE). DESIGN/METHODOLOGY/APPROACH Longitudinal case study of a lean RIE linking emergency and pathology departments focusing on the systematic application of lean's seven flows to the physical envir...