Essays on Redesigning Emergency Department Processes by Applying Lean Principles Literature review

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The paper "Redesigning Emergency Department Processes by Applying Lean Principles" is a good example of a literature review on management. It is undeniable that healthcare institutions are under intense pressure to be efficient. Magalhã es et al. (2016, p. 3) argued that a lot of the population is aging thus increasing the demand for health care services. Nevertheless, the health care systems are not improving at all and in fact, are worsening. On the other hand, in this century, the health care services are expected to be affordable, safe, cost-effective, and accessible and at the same time efficient.

The necessity has led the institutions to look for methodologies that can bring out the most effective ways of providing care. As a result, most end up adopting the Toyota Productions System, Lean Healthcare Management, which seeks to improve the performance. Apparently, lean does not alter the existing processes but rather improves on them so that they can work better. In short, the lean approach does not bring about substantial reorganization to the hospital but rather improves the processes with meager investments. Throughout history, many views are related to lean thinking.

Magalhã es et al. (2016, p. 4) stated that the Lean approach has its roots from the Toyota Production System (TPS) in the 1970s. Evidently, lean production methods first appeared in the book The Machine That Changed the World by Womack and Jones in the 1970s. Nonetheless, the majority of the institutions and industries apply the lean approach nowadays. Moreover, there is a substantial development of the concept over the decades. The majority of the authors and scholars have developed different features to describe lean-approach.

Moraros, Lemstra, and Nwankwo (2016, p. 155) stated that Womack and Jones were the first authors to propose that the health care industry can utilize lean techniques in treatment. Womack and Jones argued that the first method of applying the Lean approach in the medicine is through putting the patient time and comfort as the key performance measurement. In the process, the different multi-skilled healthcare practitioners were to involve the patient in devising the appropriate health services. Since then, it is evident that there have been many applications of the lean approach in the medical industry.

References

Al-Balushi, S., Sohal, A.S., Singh, P.J., Al Hajri, A., Al Farsi, Y.M. and Al Abri, R., 2014. Readiness factors for lean implementation in healthcare settings–a literature review. Journal of health organization and management, 28(2), pp.135-153.

Arbune, A., Wackerbarth, S., Allison, P. and Conigliaro, J., 2014. Improvement through small cycles of change: Lessons from an academic medical center emergency department. Journal for Healthcare Quality.

C Bucci, S., De Belvis, A.G., Marventano, S., De Leva, A.C., Tanzariello, M., Specchia, M.L., Ricciardi, W. and Franceschi, F., 2016. Emergency Department crowding and hospital bed shortage: is Lean a smart answer? A systematic review. Eur Rev Med Pharmacol Sci, 20(20), pp.4209-4219.

Chan, H.Y., Lo, S.M., Lee, L.L.Y., Lo, W.Y.L., Yu, W.C., Wu, Y.F., Ho, S.T., Yeung, R.S.D. and Chan, J.T.S., 2014. Lean techniques for the improvement of patients’ flow in emergency department. World journal of emergency medicine, 5(1), p.24.

El Sayed, M.J., El-Eid, G.R., Saliba, M., Jabbour, R. and Hitti, E.A., 2015. Improving emergency department door to doctor time and process reliability: a successful implementation of lean methodology. Medicine, 94(42).

Magalhães, A.L.P., Erdmann, A.L., Silva, E.L.D. and Santos, J.L.G.D., 2016. Lean thinking in health and nursing: an integrative literature review. Revista latino-americana de enfermagem, 24.

Moraros, J., Lemstra, M. and Nwankwo, C., 2016. Lean interventions in healthcare: do they actually work? A systematic literature review. International Journal for Quality in Health Care, 28(2), pp.150-165.

Radhakrishnan, M.J. and Nandini, A.S., 2014. LEAN THINKING FOR EFFECTIVE CARE DELIVERY OF EMERGENCY DEPARTMENT–A CASE STUDY. Asia Pacific Journal of Research Vol: I Issue XII.

Rutman, L., Stone, K., Reid, J., Woodward, G.A.T. and Migita, R., 2015. Improving Patient Flow Using Lean Methodology: an Emergency Medicine Experience. Current Treatment Options in Pediatrics, 1(4), pp.359-371.

Uriarte, A.G., Zúñiga, E.R., Moris, M.U. and Ng, A.H., 2015. System design and improvement of an emergency department using simulation-based multi-objective optimization. In Journal of Physics: Conference Series (Vol. 616, No. 1, p. 012015). IOP Publishing.

Vermeulen, M.J., Stukel, T.A., Guttmann, A., Rowe, B.H., Zwarenstein, M., Golden, B., Nigam, A., Anderson, G., Bell, R.S., Schull, M.J. and Team, E.I., 2014. Evaluation of an emergency department lean process improvement program to reduce length of stay. Annals of emergency medicine, 64(5), pp.427-438.

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