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Quality assurance is the overarching term used to describe the activities employed to ensure the proper performance of a system. These activities can be classified into three categories: quality control, quality assessment, and internal corrective measures. Typically, these activities work cyclically: quality control is performed before and during the analysis, while quality assessment occurs during and after the investigation. Internal corrective measures are implemented based on the findings...
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Lean methodology in quality improvement.

Bukola Ojo1, Rachel Feldman1, Sally Rampersad1

  • 1Seattle Children's Hospital and University of Washington School of Medicine, Seattle, Washington, USA.

Paediatric Anaesthesia
|March 18, 2022
PubMed
Summary
This summary is machine-generated.

Lean is a quality improvement strategy focused on reducing waste and standardizing practices in healthcare. This approach, originating from high-reliability industries, empowers frontline workers to drive iterative improvements for enhanced patient safety and care quality.

Keywords:
A3AnesthesiologyContinuous performance improvementLean thinkingQuality Improvementefficiency

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Area of Science:

  • Healthcare Quality Improvement
  • Medical Error Reduction
  • High-Reliability Organizations

Background:

  • Quality measurement in medicine has a long history, evolving with lessons from industries like aviation and nuclear power.
  • Modern healthcare increasingly adopts strategies from high-reliability sectors to mitigate risks associated with critical errors.

Purpose of the Study:

  • To describe the evolution of Lean methodology in healthcare settings.
  • To highlight the core principles and tools of Lean for quality and safety enhancement.
  • To illustrate the application of Lean tools by pediatric anesthesiologists for clinical problem-solving.

Main Methods:

  • Review of Lean principles and their historical application in healthcare.
  • Description of Lean as a visual system emphasizing waste reduction and work standardization.
  • Emphasis on worker-driven, iterative improvement from the patient's perspective.

Main Results:

  • Lean offers a structured approach to improve both the quality and safety of medical care.
  • Key tenets include waste elimination, work standardization, and continuous, worker-led improvement cycles.
  • Lean tools can be effectively applied to address specific clinical challenges in areas like pediatric anesthesiology.

Conclusions:

  • Lean methodology provides a robust framework for advancing healthcare quality and patient safety.
  • Empowering frontline staff and focusing on customer value are crucial for successful Lean implementation.
  • The adaptability of Lean tools makes them valuable for diverse clinical applications, including pediatric anesthesia.