Table 3.
Categorizing the intervention's [39] components using four lean principles
Lean principles | Intervention's components |
---|---|
Standardize work. | Specific new job roles-flow manager, team nurse and nurse's aide, and team physician-with job descriptions. Improvement Principles (IP) |
Connect people that are dependent on one another. | Team-based organization and changes to work station location. |
Create seamless, uninterrupted flow through the process. | Centralized management of the patient flow by flow managers, and changes in their work station location. Team-based organization and changes to work station location. Additional specialist staffing and work schedule changes. |
Empower staff to investigate problems with the process and to develop, test, and implement countermeasures using a "scientific method". | Stable structures for continual improvement (team approach to problem solving and coach supervision, and takt board) involving also management (monthly meetings with the management group). |