ABSTRACT

Following a request from hospital management, we undertook a review using a Lean in Healthcare approach in the outpatient antenatal clinic in the Mid Western Regional Hospital, Ennis, Ireland, in early 2008. Ÿe clinic is managed as an outreach clinic by visiting sta¡ from the Mid Western Regional Maternity (MWRM) Hospital, which is located approximately forty kilometers away. Sta¡ had been expressing concern about the perceived inadequacy of clinical rooms in the outpatient area and the poor availability of eœcient ultrasound scanning facilities at this clinic, which is held each Wednesday a¤ernoon.