This revised and updated book explores the academics behind managing the complex service environment that is the ED by combining applied management science and practical experiences to create a model of how to improve operations. The 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.
Preface. Acknowledgements. About the Authors. Chapter 1: Introduction to The Definitive Guide to Emergency Department Operational Improvement. Chapter 2: Value Stream Mapping. Chapter 3: Standard Work. Chapter 4: 5-S Workplace Organization. Chapter 5: Inventory Management Basics. Chapter 6: Rapid Changeover. Chapter 7: Mistake Proofing. Chapter 8: Lean Flow. Chapter 9: ED Flow as a Network of Queues—Matching Demand and Capacity. Chapter 10: The Lean ED—Lean Applications in a 100,000-Visit Emergency Department. Chapter 11: Best Practices—The Door-to-Doc Interval. Chapter 12: Best Practices—Doc-to-Disposition Interval. Chapter 13: Best Practices—The Dispo-to-Departure Interval. Chapter 14: Patient Experience. Chapter 15: Leadership and Change Management in Healthcare. Chapter 16: Design of the Lean ED. Chapter 17: Case Studies of Operational Improvement in the Emergency Department.