What is Patient-Centered Lean?
A methodology and culture to enable improvements in patient-centered care, quality, safety, efficiency and staff satisfaction using:
Learn more about Lean and Idea System
Idea Activators and Idea Cards
Idea System Huddle Guide and Huddle Agenda
Idea System Tips for managers and supervisors
A Patient Centered Care System provides care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions. |
The Eight Wastes
Eight Types of Waste |
Definition |
Examples |
1. Defects | Not meeting specified requirements and producing and correcting defects. | Medication errors, wrong patient, wrong procedure, missing or incomplete information, blood redraws, misdirected results, wrong bills. |
2. Overproduction & Production of unwanted Products | Ties up more resources than necessary. | Extra lab tests, CT screening for coronary disease, MRI for lower back pain, Antibiotics for respiratory infections. |
3. Waiting | Increases wait time, work in process, and delays response time to the customer. | Waiting for test results, records, information, transport, OR cleaning, patients, staff, discharge. |
4.Not Utilizing Employee Ideas | Any ideas that are not considered and/or implemented. | Not asking for input from a triage RN when changes to triage are being considered, not getting feedback from all staff affected after change. |
5. Transport (movement of materials or people) | The unnecessary movement of material, people or a patient adding time and consuming space. | Moving patients, transport between campuses, meds, specimens, samples, equipment. |
6. Inventory | Ties up capital and invites risk of obsolescence and damage. | Drugs, supplies, equipment, setup kits, specimens awaiting analysis, phone cues, junk mail. |
7.Motion (movement by workers) | Poor labor efficiency because of work layout or material not in easy reach. | Searching for patients, meds, charts, supplies, paperwork; Long clinic halls. |
8. Extra - processing | Creates delays without adding any benefit and invites more defects in the process. | Bed moves, retesting, repeat paperwork, repeat registration, readmit |