Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Inhaled Medications01:23

Inhaled Medications

803
Inhaled medications are crucial for managing chronic obstructive pulmonary disease (COPD) and asthma. They are essential for effective treatment and control, ensuring optimal respiratory health and well-being. Inhaled medication delivers drugs directly to the lungs, providing a rapid onset of action and reducing systemic side effects compared to oral or injectable medications. Three primary types of inhalation devices are used to administer these medications: nebulizers, metered-dose inhalers...
803
Blind Procedures02:07

Blind Procedures

13.5K
Ideally, the people who observe and record the children’s behavior are unaware of who was assigned to the experimental or control group, in order to control for experimenter bias. Experimenter bias refers to the possibility that a researcher’s expectations might skew the results of the study. Remember, conducting an experiment requires a lot of planning, and the people involved in the research project have a vested interest in supporting their hypotheses. If the observers knew which...
13.5K
Protein Complexes with Interchangeable Parts01:57

Protein Complexes with Interchangeable Parts

2.9K
Groups of proteins may form a complex where each protein in this complex has a different role in the overall execution of the complex’s function. Often some of the proteins in the complex can be replaced by a closely related variant to give a complex that contains many of the same components yet is functionally distinct.
The SCF ubiquitin ligase is a protein complex of five individual proteins. This complex attaches ubiquitin to other target proteins to mark them for degradation. In order...
2.9K
Protein Complex Assembly02:41

Protein Complex Assembly

16.8K
Proteins can form homomeric complexes with another unit of the same protein or heteromeric complexes with different types.  Most protein complexes self-assemble spontaneously via ordered pathways, while some proteins need assembly factors that guide their proper assembly. Despite the crowded intracellular environment, proteins usually interact with their correct partners and form functional complexes.
Many viruses self-assemble into a fully functional unit using the infected host cell to...
16.8K
Complex Numbers01:29

Complex Numbers

317
The real number system cannot represent the square root of a negative number, which restricts solutions for certain equations, such as quadratics with negative discriminants. To address this, the complex number system was developed, introducing the imaginary unit i, where i = √(-1). This extension allows for the representation of all roots, including those involving negative radicands.A complex number is written in the form x + yi, where x and y are real numbers. Here, x represents the...
317
Formation of Complex Ions03:45

Formation of Complex Ions

26.2K
A type of Lewis acid-base chemistry involves the formation of a complex ion (or a coordination complex) comprising a central atom, typically a transition metal cation, surrounded by ions or molecules called ligands. These ligands can be neutral molecules like H2O or NH3, or ions such as CN− or OH−. Often, the ligands act as Lewis bases, donating a pair of electrons to the central atom. These types of Lewis acid-base reactions are examples of a broad subdiscipline called coordination...
26.2K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Radiofrequency electromagnetic fields reduce bumble bee visitation to flowers.

Environmental pollution (Barking, Essex : 1987)·2025
Same author

Sugammadex in Chronic Kidney Disease: Considerations Regarding the Safety and Effectiveness of Its Frequent Off-label Use.

Anesthesiology·2025
Same author

Beware: A Rare Pathogen Associated With Underlying Gastrointestinal Cancer.

Gastroenterology·2023
Same author

Global prospective case series of ERCPs using a single-use duodenoscope.

Endoscopy·2023
Same author

Multicenter retrospective cohort of EUS-guided anterograde pancreatic duct access.

Endoscopy international open·2023
Same author

Effect of Genotype and Environment on Food-Related Traits of Organic Winter Naked Barleys.

Foods (Basel, Switzerland)·2022
Same journal

Patient-centred approach to improve colorectal cancer screening (CRC) in resource-limited communities.

BMJ open quality·2026
Same journal

Australian and New Zealand nurses' understanding and application of aseptic technique in clinical contexts: a cross-sectional mixed-method study.

BMJ open quality·2026
Same journal

Using AI to identify in-hospital falls: a comparative analysis with incident reports and manual chart review.

BMJ open quality·2026
Same journal

Value operating system: a practical framework to measure outcomes-per-cost at the episode level.

BMJ open quality·2026
Same journal

'The evidence is out there…': perspectives of healthcare providers on improving asthma and COPD prevention and care within a major health authority region of British Columbia, Canada.

BMJ open quality·2026
Same journal

Reducing unnecessary bed days to optimise flow and improve demand-capacity mismatch: learning from a system-wide patient flow collaborative.

BMJ open quality·2026
See all related articles

Related Experiment Video

Updated: Feb 5, 2026

Examining Online Syntactic Processing of Spoken Complex Sentences in Chinese Using Dual-Modal Interference Tasks
08:32

Examining Online Syntactic Processing of Spoken Complex Sentences in Chinese Using Dual-Modal Interference Tasks

Published on: September 5, 2019

5.9K

Process improvement for a complex dual medical procedure.

Wade Anthony Weigel1, Michael Gluck2, Andrew S Ross2

  • 1Department of Anesthesiology, Virginia Mason Medical Center, Seattle, Washington, USA.

BMJ Open Quality
|September 1, 2018
PubMed
Summary
This summary is machine-generated.

Streamlining pancreatic stone treatment with extracorporeal shock wave lithotripsy and endoscopic retrograde cholangiopancreatography significantly reduced patient wait times by over 8 hours. This Lean management approach improved efficiency and patient care by coordinating complex procedures.

Keywords:
efficiencylithotripsypancreatic ductsquality improvementtime and motion studies

More Related Videos

Safety Precautions and Operating Procedures in an ABSL-4 Laboratory: 4. Medical Imaging Procedures
09:36

Safety Precautions and Operating Procedures in an ABSL-4 Laboratory: 4. Medical Imaging Procedures

Published on: October 3, 2016

11.5K
Motor Dual-Tasks for Gait Analysis and Evaluation in Post-Stroke Patients
05:23

Motor Dual-Tasks for Gait Analysis and Evaluation in Post-Stroke Patients

Published on: March 11, 2021

2.9K

Related Experiment Videos

Last Updated: Feb 5, 2026

Examining Online Syntactic Processing of Spoken Complex Sentences in Chinese Using Dual-Modal Interference Tasks
08:32

Examining Online Syntactic Processing of Spoken Complex Sentences in Chinese Using Dual-Modal Interference Tasks

Published on: September 5, 2019

5.9K
Safety Precautions and Operating Procedures in an ABSL-4 Laboratory: 4. Medical Imaging Procedures
09:36

Safety Precautions and Operating Procedures in an ABSL-4 Laboratory: 4. Medical Imaging Procedures

Published on: October 3, 2016

11.5K
Motor Dual-Tasks for Gait Analysis and Evaluation in Post-Stroke Patients
05:23

Motor Dual-Tasks for Gait Analysis and Evaluation in Post-Stroke Patients

Published on: March 11, 2021

2.9K

Area of Science:

  • Gastroenterology
  • Medical Management
  • Process Improvement

Background:

  • Pancreatic stones often require complex, multi-step treatments like extracorporeal shock wave lithotripsy (ESWL) and endoscopic retrograde cholangiopancreatography (ERCP).
  • Coordinating these procedures can lead to significant delays and logistical challenges for patients and healthcare teams.

Purpose of the Study:

  • To redesign the combined treatment process for large, symptomatic pancreatic stones using Lean management principles.
  • To improve patient flow, reduce procedural delays, and enhance overall efficiency.

Main Methods:

  • A week-long Lean management event was conducted to analyze and redesign the patient pathway.
  • Plan-Do-Study-Act (PDSA) cycles were utilized for iterative process refinement, focusing on scheduling, equipment, and personnel alignment.
  • Standard work protocols and a complex scheduler were implemented to optimize the sequence of ESWL and ERCP.

Main Results:

  • The redesigned process enabled immediate succession of both procedures for all patients, eliminating delays.
  • Total patient wait time between procedures was reduced by over 8 hours.
  • The number of anesthetics required per patient was reduced without increasing overall procedure length.

Conclusions:

  • Lean management tools effectively streamlined the combined treatment of pancreatic stones.
  • Process redesign significantly improved efficiency, reduced patient wait times, and optimized resource utilization.
  • This integrated approach enhances patient care by minimizing disruption and anesthetic exposure.