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Related Concept Videos

Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

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Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
1.0K
Methods of Documentation VII: EMR01:30

Methods of Documentation VII: EMR

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Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare...
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
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Methods of Documentation V: CBE01:23

Methods of Documentation V: CBE

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Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
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Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

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Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
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Updated: Oct 30, 2025

Setting Up a Stroke Team Algorithm and Conducting Simulation-based Training in the Emergency Department - A Practical Guide
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A Systematic Review on Lean Applications' in Emergency Departments.

Davenilcio Luiz Souza1, André Luis Korzenowski1,2, Michelle McGaha Alvarado3

  • 1Industrial & Systems Engineering Department, Polytechnic School, University of Vale do Rio dos Sinos, São Leopoldo 93022-750, RS, Brazil.

Healthcare (Basel, Switzerland)
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PubMed
Summary

Lean principles effectively address emergency department challenges like long waits and safety issues. Applying Lean tools such as VSM and Kaizen significantly improves patient flow, efficiency, and satisfaction.

Keywords:
LeanPRISMAemergency departmentshealthcaresystematic literature review

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Area of Science:

  • Healthcare Management
  • Operations Research
  • Quality Improvement

Background:

  • Emergency Departments (EDs) face persistent challenges including long waiting times, patient flow inefficiencies, and safety concerns.
  • Lean principles offer a framework for optimizing processes and improving outcomes in complex healthcare environments.

Purpose of the Study:

  • To systematically review the state of the art of Lean principles in Emergency Departments.
  • To identify research problems addressed by Lean, common Lean approaches and tools, and their reported benefits.
  • To uncover knowledge gaps and future research opportunities in applying Lean to healthcare.

Main Methods:

  • A six-step systematic literature review following the PRISMA method.
  • Analysis of research problems, Lean approaches, tools, and outcomes in ED settings.

Main Results:

  • Lean principles address issues in waiting time, hospital stay length, safety, process redesign, management, patient flow, and cost analysis.
  • Commonly used approaches include Lean Thinking, Multidisciplinary teams, Statistics, and Six Sigma.
  • Key Lean tools and methodologies identified are Value Stream Mapping (VSM), Teamwork, DMAIC, and Kaizen.
  • Significant benefits include reduced waiting times, costs, and length of stay, alongside improved patient satisfaction, efficiency, safety, and quality.

Conclusions:

  • Lean principles offer a robust framework for overcoming critical challenges in Emergency Departments.
  • Multidisciplinary integration is crucial for successful Lean implementation and achieving optimal results.
  • Further research is needed to explore and expand Lean best practices within healthcare organizations.