To cite: Blackmore CC, Kaplan GS. BMJ Qual Saf Published Online First: [please include Day Month Year] doi:10.1136/bmjqs-2016005273 The term Lean means different things to different people. At Virginia Mason, it is applied to the management system based on the systematic identification and elimination of waste, defined as any activity that does not add value from the standpoint of the customer....

diseases management offers the benefits of lower disease occurrence, improved patient care, and lower healthcare costs. the key mechanism used to identify individuals at risk, stratify patients by risk level and track patients’ progress through the disease management is the data warehouse (dw). this review article describes operational systems, dw features and component and role of it in diseas...

OBJECTIVE To explore healthcare staffs' and managers' perceptions of how and when discrete event simulation modelling can be used as a decision support in improvement efforts. DESIGN Two focus group discussions were performed. SETTING Two settings were included: a rheumatology department and an orthopaedic section both situated in Sweden. PARTICIPANTS Healthcare staff and managers (n=13) ...

BACKGROUND Yoga is increasingly popular, though little data regarding its implementation in healthcare settings is available. Similarly, telehealth is being utilized more frequently to increase access to healthcare; however we know of no research on the acceptability or effectiveness of yoga delivered through telehealth. Therefore, we evaluated the feasibility, acceptability, and patient-report...