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Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Do lean practices lead to more time at the bedside?

Tiffany Brackett¹, Linda Comer, Ramona Whichello

¹Core Measures Coordinator, MedWest-Haywood, West Health System, Western North Carolina, USA. tiffanyb367@yahoo.com

Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality

|November 19, 2011

Summary

This review examined value-added processes like Lean methodology and Transforming Care at the Bedside (TCAB) in inpatient nursing. While positive results were reported, evidence linking these initiatives to improved direct patient care or increased bedside time was limited.

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Last Updated: May 27, 2026

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide

Published on: January 15, 2017

Area of Science:

Healthcare Management
Nursing Science
Process Improvement

Background:

Value-added processes are crucial for healthcare transformation.
Lean methodology and Transforming Care at the Bedside (TCAB) are key initiatives.
Understanding their impact on bedside nursing is essential.

Purpose of the Study:

To evaluate the application and effects of value-added processes on bedside nursing.
To review literature on Lean methodology and TCAB in inpatient care.
To assess the influence on direct patient care and time spent at the bedside.

Main Methods:

Systematic literature review focusing on Lean methodology and TCAB in inpatient nursing.
Exclusion of studies from other healthcare service lines.
Inclusion of articles from the Institute for Healthcare Improvement (IHI) and Robert Wood Johnson Foundation (RWJF).

Main Results:

Varied applications of Lean principles were observed, from single tools to organizational restructuring.
All reviewed articles reported positive outcomes, but many lacked robust supporting evidence.
Some indication of success in improving specific nursing process outcomes was noted.

Conclusions:

The impact of Lean methodology and TCAB on direct patient care and bedside time remains inconclusive.
Further research with stronger evidence is needed to validate the benefits of these initiatives in nursing.
While promising, the translation of these process improvements to enhanced bedside nursing requires more investigation.