The concept of ‘lean thinking’ first originated in the manufacturing industry as a means of improving productivity whilst maintaining quality through eliminating wasteful processes. The purpose of this article is to demonstrate how the principles of ‘lean thinking’ are relevant to healthcare and the operating theatre, with reference to our own institutional experience.
Association of Anaesthetists of Great Britain and Ireland2010Pre-operative assessment and patient preparation Available from: www.aagbi.org/sites/default/files/preop2010.pdf [Accessed June 2014]
2.
BichenoJ., HolwegM.2004The lean toolbox: The essential guide to lean transformationBuckingham, PICSIE Books
3.
ChekairiA., JohnsonJ.2008Reconfiguration and standardisation of anaesthetic rooms using ‘lean thinking’Royal College of Anaesthetists Bulletin59: 41–43 Available from: www.rcoa.ac.uk/system/files/CSQ-Bulletin59.pdf [Accessed June 2014]
4.
ChungF., YuanH., YinL.2009Elimination of preoperative testing in ambulatory surgeryAnesthesia and Analgesia108(2) 467–75
5.
CimaR., BrownM., HeblJ.2011Use of lean and six sigma methodology to improve operating room efficiency in a high-volume tertiary-care academic medical centerJournal of the American College of Surgeons213(1) 83–92
6.
HaynesA., WeiserT., BerryW.2009A surgical safety checklist to reduce morbidity and mortality in a global populationNew England Journal of Medicine36049–57
7.
HolwegM.2007The genealogy of lean productionJournal of Operations Management25(2) 420–37
KehletH., WilmoreD.2008Evidence-based surgical care and the evolution of fast-track surgeryAnnals of Surgery248(2) 189–98
10.
KmietowiczZ.2013NHS in England needs new strategy to avoid 30bn shortfall, say health chiefsBritish Medical Journal (Clinical research edition)3474507
11.
KneedlerJ.1985Cost savings through inventory management: SOS – systems offer savingsPerioperative Nursing Quarterly1(3) 7–16
12.
KumarJ., JainS.2009Drug errors in anaesthesiologyIndian Journal of Anaesthesia53(5) 539–45
13.
LikerJ., HoseusM.2008Toyota culture: the heart and soul of the Toyota wayNew York, McGraw-Hill Books
14.
MartinM, OsterlingP.2013Value stream mapping: How to visualize work and align leadership for organizational transformationNew-York, McGraw Hill
15.
MayerE., FaizO., AthanasiouT., VincentC.2008Measuring and enhancing elective service performance in NHS operating theatres: an overviewJournal of the Royal Society of Medicine101(6) 273–77
OhnoT.1988Just-in-time for today and tomorrowLondon, Productivity Press
20.
OsadaT.1995The 5S's: Five keys to a total quality environmentUS, Asian Productivity Organization
21.
SangheraP.2008Workshop in a book on standard operating procedures for biotechnology, health science and other industriesCalifornia, Infonential Incorporated
22.
SchwarzP., PannesK., NathanM., ReimerH.2011Lean processes for optimizing OR capacity utilization: prospective analysis before and after implementation of value stream mapping (VSM)Langenbeck's Archives of Surgery396(7) 1047–53.
23.
VaradhanK., NealK., DejongC., FearonK.2010The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: A meta-analysis of randomized controlled trialsClinical Nutrition29(4) 434 RLIN