Using Lean tools to reduce patient waiting time

Leadership in Health Services
Luciana Teixeira LotElaine Cristina de Ataide

Abstract

Purpose This paper aims to address problems in patient flow and identify the reasons behind extensive wait time at a public liver transplant outpatient clinic in an education and research hospital through the use of Lean health-care theories. Design/methodology/approach This paper opted for the application of Lean thinking and action research strategy. Data were collected through personal observations, interviews with users and team brainstorming. A value stream map was developed, improvement possibilities were identified and non-value-added activities were attempted to be eliminated. Findings Significant problems were identified and improvements were implemented and measured. The major remedial measures were: change the scheduling pattern, create a flow chart and a Kanban visual guide for medical students. In addition, an institutional change in the medical appointment scheduling software collaborated in the reduction of time and in the patient's displacement. The waiting time was reduced by 4.5 h, and the per cent complete and accurate increased by 50 per cent. Practical implications The flow was redesigned, and a culture of continuous improvement was introduced. Visiting the place where work was being done, leaders identifie...Continue Reading

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Citations

May 29, 2019·Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology·Douglas P SladenMatthew L Carlson
May 16, 2019·Journal of Dental Education·Fonda G RobinsonHenry W Fields
May 28, 2019·Journal of Health Organization and Management·Maude LabergeAngel Ruiz
Jan 28, 2021·International Journal of Environmental Research and Public Health·Juan A Marin-GarciaJulio J Garcia-Sabater
Sep 19, 2020·Journal of Health Organization and Management·Ana Carla de Souza Gomes Dos SantosLetícia Ali Figueiredo Ferreira
Jul 25, 2021·International Journal of Environmental Research and Public Health·Letícia Bianchini de BarrosRenata Cristina Gasparino
Sep 8, 2021·The International Journal of Health Planning and Management·Duong X LeRaouf N G Naguib

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Software Mentioned

5W2H
Lean
Gemba

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