|Lean Methodology and Patient Safety|
|Written by Skeptical Scalpel|
|Tuesday, 06 December 2016 18:31|
A recent story in U.S. News & World Report described how a Seattle hospital is taking a systems approach in improving healthcare quality and cutting costs. It said, "Virginia Mason Health System...has looked to adopt many of the much-admired and often-emulated business philosophies from Toyota."
The best-known of those philosophies is the so-called "lean methodology" which is based on eliminating waste and focusing on things that add value.
Attempts to incorporate lean into healthcare have met with varying degrees of success. I blogged about this six years ago and pointed out that a literature review done back then found "significant gaps in the [lean and six sigma] health care quality improvement literature and very weak evidence that [lean and six sigma] improve health care quality."
Randomized prospective trials of lean in medicine are lacking. A recent paper from the Journal of the American College of Radiology found...
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