Redesigning emergency department patient flows: Application of Lean Thinking to health care

Objective:  To describe in some detail the methods used and outcome of an application of concepts from Lean Thinking in establishing streams for patient flows in a teaching general hospital ED.

[1]  The Victorian emergency department collaboration. , 2002, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[2]  Mark Hauswald.  Triage: better tools but the wrong problem. , 2005, Academic emergency medicine : official journal of the Society for Academic Emergency Medicine.

[3]  J. Shepherdson,et al.  The Lean Enterprise , 1999 .

[4]  J. Posnett,et al.  Dynamics of bed use in accommodating emergency admissions: stochastic simulation model , 1999, BMJ.

[5]  P Walley,et al.  Designing the accident and emergency system: lessons from manufacturing , 2003, Emergency medicine journal : EMJ.

[6]  D. Green,et al.  Rapid assessment team reduces waiting time , 1999 .

[7]  大野 耐一,et al.  Toyota production system : beyond large-scale production , 1988 .

[8]  P. Cameron,et al.  A paradigm shift in the nature of care provision in emergency departments , 2004, Emergency Medicine Journal.

[9]  Tomaso Poggio,et al.  Learning to see , 1996 .

[10]  Taiichi Ohno,et al.  Toyota Production System : Beyond Large-Scale Production , 1988 .

[11]  A. Posner.  Learning to see. , 1955, Eye, ear, nose & throat monthly.

[12]  K. Castille,et al.  See and Treat: a management driven method of achieving targets or a tool for better patient care? One size does not fit all , 2003, Emergency medicine journal : EMJ.

[13]  James P. Womack,et al.  Lean Thinking: Banish Waste and Create Wealth in Your Corporation , 1996 .

[14]  H W Meislin,et al.  Fast Track: urgent care within a teaching hospital emergency department: can it work? , 1988, Annals of emergency medicine.

[15]  D. Fatovich,et al.  Access block: problems and progress , 2003, The Medical journal of Australia.

[16]  A. Leaman.  See and Treat: a management driven method of achieving targets or a tool for better patient care? One size does not fit all , 2003, Emergency medicine journal : EMJ.