ABSTRACT

When patients go to the emergency waiting room, their severity is often assessed. Often the reason for high waiting times in the emergency unit is a lack of beds in inpatient rooms. This is the output issue emergency units. The second cause of long waiting times in the emergency unit is several nonurgent patients trying to use the emergency unit. The third issue of the emergency unit service is the knowledge related to diagnoses in the patient’s past. The fourth issue is the presence of nonpatients in the emergency unit, especially in the case of a disaster or major disaster. These four issues show how the emergency unit depends on good relations with other units in the hospital, such as medical records and inpatient and outpatient units, and good relations with the media. Before implementing Lean in the emergency unit, a number of preliminary steps must be taken. The success factors are: employee involvement, management support, and preparedness for change.