Lean thinking principles were utilised to set up ‘One-stop cholecystectomy clinics' at which patients underwent the surgical and the preoperative assessment during the same visit. The main aims were to reduce the number of patient hospital visits, preoperative admissions and the waiting time to surgery. The results showed a significant reduction in the number of patient visits as well as the waiting time to surgery thus highlighting that patient care can be improved by good team working and lean management.
BowenDE, YoungdahlWE1998“Lean“ service: in defense of a production line approachInternational Journal of Service Industry Management9(3) 207–25
2.
CheruvuCVN, Eyre-BrookIA2002Consequences of prolonged wait before gallbladder surgeryAnnals of The Royal College of Surgeons of England84(1) 20–22
3.
DerrettS, PaulC, MorrisJM1999Waiting for elective surgery: effects on health-related quality of lifeInternational Journal for Quality in Health Care11(1) 47–57
EndsleyS, MagillMK, GodfreyMM2006Creating a lean practiceFamily Practice Management13(4) 34–38
6.
GarnerJP, SoodSK, RobinsonJ, BarberW, RaviK2009The cost of ignoring acute cholecystectomyAnnals of The Royal College of Surgeons of England91(1) 39–42
7.
GurusamyK, SamrajK, GluudC, WilsonE, DavidsonBR2009Meta analysis of randomised controlled trials on the safety and effectiveness of early versus delayed laparoscopic cholecystectomy for acute cholecystitisBritish Journal of Surgery97(2) 141–50
8.
GurusamyKS, SamrajK, FusaiG, DavidsonBR2008Early versus delayed laparoscopic cholecystectomy for biliary colicCochrane Database of Systematic Reviews (4) DOI: 10.1002/14651858.CD007196.pub2
9.
JacksonJ2009One-stop outpatient and pre-operative assessmentNursing Management15(9)
10.
KingDL, Ben-TovimDI, BasshamJ2006Redesigning emergency department patient flows: Application of lean thinking to healthcareEmergency Medicine Australasia18(4) 391–7
11.
KollbergB, DahlgaardJJ, BrehmerP2006Measuring lean initiatives in healthcare services: issues and findingsInternational Journal of Productivity & Performance Management56(1) 7–24
12.
LauritsenJ, BruusM2003EpiData. A comprehensive tool for validated entry and documentation of dataThe EpiData AssociationOdense, Denmark
13.
LoCM, LiuCL, FanST, LaiEC, WongJ1998Prospective randomised study of early versus delayed laparoscopic cholecystectomy for acute cholecystitisAnnals of Surgery227(4) 461–7
MurrayMM, BerwickDM2003Advanced access: reducing waiting and delays in primary careThe Journal of American Medical Association289(8) 1035–40
16.
SomasekarK, ShankarPJ, FosterME, LewisMH2002Costs of waiting for gall bladder surgeryBritish Medical Journal78(925) 668–9
17.
Statistical Package for Social Scientists2005SPSS for WindowsSPSS Inc.Chicago, USA
18.
WomackJP, JonesDT1998Lean thinking: banish waste and create wealth in your corporationSimon & Schuster Available from: www.simonandschuster.com/ [Accessed April 2012]
19.
WomackJP, ByrneAP, FiumeO, KaplanGS, ToussaintJ, MillerD2005Going lean in healthcareCambridge, MA, Institute for Healthcare Improvement
