Purpose – The purpose of this paper is to compare and contrast traditional data collection methodologies employed in health care with more practical observational methods which are closely aligned with Lean thinking. When combined with problem solving, observational approaches achieve demonstrable improvements in clinical outcomes, productivity and efficiency. The paper aims to describe the changes in mindset and behaviour that are required to adopt the observational methods.Design/methodology/approach – The approach is to describe and evaluate case study examples on the use of observational data in the National Health Service in the UK. This is then used to derive generic principles about the wider application of observational data in health care.Findings – Traditional data collection methodologies are often insufficient to expose the root cause of a problem and therefore may result in little or no action. The observational methods identify the root cause and as such offer a much more practical and real‐...
[1]
Daniel Roos,et al.
The machine that changed the world : the story of lean production
,
1991
.
[2]
P. Pronovost,et al.
An intervention to decrease catheter-related bloodstream infections in the ICU.
,
2006,
The New England journal of medicine.
[3]
Donald J. Wheeler,et al.
Understanding Statistical Process Control
,
1986
.
[4]
W. Edwards Deming,et al.
Out of the Crisis
,
1982
.
[5]
James P. Womack,et al.
Lean Thinking: Banish Waste and Create Wealth in Your Corporation
,
1996
.
[6]
D Gopher,et al.
A look into the nature and causes of human errors in the intensive care unit*
,
2003,
Quality & safety in health care.
[7]
C. Pegels.
The Toyota Production System
,
1984
.
[8]
Frederick Winslow Taylor,et al.
科学管理原理=The principles of scientific management
,
2014
.