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Process Redesign for Health Care Using Lean Thinking - A Guide for Improving Patient Flow and the Quality and Safety of Care (Paperback)
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Process Redesign for Health Care Using Lean Thinking - A Guide for Improving Patient Flow and the Quality and Safety of Care (Paperback)
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Process Redesign for Health Care Using Lean Thinking is a response
to a simple, but hard to answer, question and is the result of the
experiences of a working doctor who was also the chief safety and
quality officer of an Australian teaching hospital. At this
hospital, he observed that the Emergency Department was staff by
talented, well-trained, and respected doctors and nurses. The
facilities were modern, and the work load unexceptional, but the
department was close to melt down. Bad things were happening to
patients, everyone was blaming each other, lots of things had been
tried but nothing was getting better and no one could explain why.
The problem was not a lack of technical knowledge or expertise, the
problem was that no one stood back and said, "what's the best way
to move 200 or 300 patients a day through the complicated and
varying, sequence of steps needed to sort out the many different
problems that bring patients to our department?" These challenges
are faced by hospitals and health services all over the world.
There are difficulties with patient flow, congestion, queues,
inefficient utilization of resources, problems engaging clinical
staff in improvement programs, adverse incidents, and budget
constraints. Lean thinking and value stream analysis gives
hospitals and health services struggling with these issues the
insights they need to help themselves. This book provides a method
that systematically turns those insights into working programs of
service and system redesign. The book is divided into two sections.
The first section gives the background to the approach, and
systematically works through the Process Redesign methodology,
step-by-step. The second section is a series of case studies that
show the methodology in action, what worked and what didn't work.
The goal of any process redesign is simple: the right care, for the
right person, at the right time, in the right place, and right the
first time. This book helps the people who work in hospitals and
health services realize these goals by working together.
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