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Related Experiment Video

Updated: Sep 23, 2025

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Reducing Changeover Time Between Surgeries Through Lean Thinking: An Action Research Project.

Mirjam Amati1, Alan Valnegri1, Alessandro Bressan2

  • 1Information and Process Management/Supportive Area, Ente Ospedaliero Cantonale, Bellinzona, Switzerland.

Frontiers in Medicine
|May 16, 2022
PubMed
Summary

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Lean Thinking reduced operating room changeover times by 25% through process improvements. This approach enhances patient flow and efficiency without needing new infrastructure or resources.

Area of Science:

  • Healthcare Management
  • Process Improvement
  • Operations Research

Background:

  • Maximizing operating room (OR) suite utilization is key to delivering value and efficiency.
  • Lean Thinking, focused on minimizing waste and maximizing customer value, is applicable to healthcare and OR environments.
  • Reducing patient changeover time between surgeries is a critical area for efficiency gains.

Purpose of the Study:

  • To engage healthcare professionals in continuous improvement using Lean Thinking.
  • To provide insights into reducing operating room changeover times.
  • To enhance efficiency and value delivery in surgical suites.

Main Methods:

  • Action research approach utilizing Lean methodologies.
  • Application of Gemba walks, Process Mapping, Root-Cause-Analysis, and Single Minute Exchange of Dies (SMED).
Keywords:
changeover timeinter-professional collaborationlean thinkingoperating roomstandardizationsurgeryweekly management

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  • Data collection through observations and video recordings in gynecological and general surgery contexts.
  • Main Results:

    • Achieved an average reduction of 25% in changeover time between operations.
    • Improved patient flow and inter-professional collaboration.
    • Standardized and safer work practices were implemented without infrastructure changes.

    Conclusions:

    • Lean Thinking enables a systems-level re-evaluation of operating suite performance.
    • Sustainable results require a common goal among stakeholders and a supportive management system.
    • Optimizing planning, standardizing work, and surgeon involvement are crucial for driving performance.