Lean methodology: an evidence-based practice approach for healthcare improvement.

Lean methodology, an evidence-based practice approach adopted from Toyota, is grounded on the pillars of respect for people and continuous improvement. This article describes the use of Lean methodology to improve healthcare outcomes for patients with community-acquired pneumonia. Nurse practitioners and other clinicians should be knowledgeable about this methodology and become leaders in Lean transformation.

[1]  Alastair Baker,et al.  Crossing the Quality Chasm: A New Health System for the 21st Century , 2001, BMJ : British Medical Journal.

[2]  B. A. Cohen,et al.  Reduction of 30-day postdischarge hospital readmission or emergency department (ED) visit rates in high-risk elderly medical patients through delivery of a targeted care bundle. , 2009, Journal of hospital medicine.

[3]  T. Welbourne,et al.  AFFORDABLE CARE ACT , 2012 .

[4]  Jiju Antony,et al.  An overview of six sigma applications in healthcare industry , 2007 .

[5]  Pauline Found,et al.  Leading the lean enterprise , 2007 .

[6]  Lisette Schoonhoven,et al.  Nursing implementation science: how evidence-based nursing requires evidence-based implementation. , 2008, Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing.

[7]  G. Walter,et al.  The Directors , 2006 .

[8]  Sung-joon Min,et al.  The care transitions intervention: results of a randomized controlled trial. , 2006, Archives of internal medicine.

[9]  D L Sackett,et al.  Using research findings in clinical practice , 1998, BMJ.

[10]  E D Sparkman,et al.  Putting Research into Practice , 1991, Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses.

[11]  Effectiveness of structured discharge process in reducing hospital readmission of adult patients with community acquired pneumonia: A systematic review , 2011, JBI library of systematic reviews.

[12]  John Toussaint,et al.  On the Mend: Revolutionizing Healthcare to Save Lives and Transform the Industry , 2010 .

[13]  R. Tsuyuki,et al.  Capturing Outcomes of Clinical Activities Performed by a Rounding Pharmacist Practicing in a Team Environment: The COLLABORATE Study [NCT00351676] , 2009, Medical care.

[14]  S. Satya‐Murti Evidence-based Medicine: How to Practice and Teach EBM , 1997 .