This revised and updated book explores the academics behind managing the complex service environment that is the Emergency Department (ED) by combining applied management science and practical experiences to create a model of how to improve operations. This book offers a presentation of Lean tools used in the ED along with basic and advanced flow principles. It then shows how these concepts are applied and why they work, supported by case studies in which Lean principles were used to transform an underperforming ED into a world-class operation. After reviewing best practices, the authors explain how to achieve excellence by discussing the elements of creating a culture of change.

chapter Chapter 2|19 pages

Value Stream Mapping

chapter Chapter 3|19 pages

Standard Work

chapter Chapter 4|24 pages

5-S Workplace Organization

chapter Chapter 5|23 pages

Inventory Management Basics

chapter Chapter 6|7 pages

Rapid Changeover

chapter Chapter 7|12 pages

Mistake Proofing

chapter Chapter 8|32 pages

Lean Flow

chapter Chapter 11|39 pages

Best Practices—The Door-to-Doc Interval

chapter Chapter 12|23 pages

Best Practices—Doc-to-Disposition Interval

chapter Chapter 13|18 pages

Best Practices—The Dispo-to-Departure Interval

chapter Chapter 14|17 pages

Patient Experience

chapter Chapter 15|26 pages

Leadership and Change Management in Healthcare

chapter Chapter 16|8 pages

Design of the Lean ED