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...

This paper deals with the development of a new approach for supporting the improvement of information management and the overall information systems infrastructure. In particular, the paper discusses the application of lean thinking to information management; where information management can be considered to involve adding value to information by virtue of how it is organised, visualised and re...

Background: There is growing interest in applying lean thinking in healthcare, yet, there is still limited knowledge of how and why lean interventions succeed (or fail). To address this gap, this in-depth case study examines a leaninspired intervention in a Swedish pediatric Accident and Emergency department. Methods: We used a mixed methods explanatory single case study design. Hospital perfor...

This study aims to examine the complementarity effect of lean management control mechanisms (lean performance measurement, employee empowerment, visual control, standard operating procedures, and peer pressures) on company (operations financial performance). Besides, this also tests whether consensus thinking has affected relationship between company’s performance. The data is collected by surv...

since lean concept has appeared many works have been done on decreasing or even eliminating of wastes such as extra inventory. although these studies have not taken into account expected availability seriously. so in this paper, a multiple objective decision making (modm) model has been developed by viewpoint of these subjects. they are decreasing wastes and increasing system availability. wast...