OBJECTIVES To date, experiences of leaders in the implementation of Lean after a Lean Training Programme have not been systematically investigated within teaching hospitals. Existing studies have identified barriers and facilitators only from an improvement programme perspective and have not considered the experiences of leaders themselves. This study aims to bridge this gap. DESIGN Semistruc...

H ealth care providers are facing increasing pressure to reduce costs. A major source of pressure is grounded in the U.S. government’s initiatives to make health care more affordable and to increase accountability. The most publicized initiative to address the cost of health care is The Patient Protection and Affordable Care Act, which was signed into law on March 23, 2010. Two of the major goa...

The purpose of this paper is to discuss the benefits generated from the application of lean tools in banking services. We will highlight on challenges, advantages, and principal success factors for lean implementation. As financial markets are experiencing changes so it’s mandatory to create a streamlined bank to meet the new expectations in a timely manner while continuing to lower operational...

conclusions these findings suggest that lean mass was the most important predictor of bmd in both genders. physical activity appears to positively impact on lean mass and needs to be considered in physical education and health-enhancing programs in iranian school children. background body weight is made up of lean and fat mass and both are involved in growth and development. impression of these...

To cite: Margolius D, Ranji SR. BMJ Qual Saf 2015;24:477–479. Front-line healthcare workers are the first to witness the everyday errors that occur in patient care—when a medication dose is delayed, or when an unnecessary test causes harm. Residents and interns are those front-line workers in academic medical centres, working for up to 80 h a week for at least 3 years (in the USA). Just as hosp...

background recognizing the significant impact of wait times for care for individuals with complex chronic conditions, we applied a lean methodology, namely – an adaptation of value stream mapping (vsm) to meet the needs of people with multiple chronic conditions and to improve wait times without additional resources or funding.   methods over an 18-month time period, staff applied a patient-cen...

Health care systems are generating costs above reasonable limits. Assuring high service levels, especially in remote zones, leads to even higher costs. Based on a lean approach, this research aims at developing a new hospital purchasing process. A case study of a public hospital in a remote European area with high levels of demand uncertainty is used. The most common purchasing process is mappe...