Book Review: The New Lean Healthcare Pocket Guide

The New Lean Healthcare Pocket Guide, by Debra Hadfield, Shelagh Holmes, Sue Kozlowski and Todd Sperl, published by MCS Media. This guide is genuinely pocket-sized: it’s 14cm x 9cm (3.5 inches x 5.5 inches). It takes up a little more room than that because of its spiral binding, but it fits easily in a coat…

Learning from Ishikawa

There is a steady stream of new books on quality improvement. Many of these books are worthwhile, and often cast an interesting light on an aspect of quality work. Over the last few months, I have been reading older books. Our patient postie has delivered a steady stream of second hand books to our door.…

Learning about 5S

5S is one of the building blocks of Lean. 5S is usually taken to have five stages or pillars – Sort, Set in Order, Shine, Standardise and Sustain. Some workers use slightly different terms, and in health care a sixth ‘S’ – safety is sometimes added. There is a discussion of 5S in a previous…

Book Review: ‘Lean-Led Hospital Design’ by Naida Grunden and Charles Hagood

In most health care systems, we introduce Lean into a system that already exists. In the case of hospitals, this means that you have to work within the constraints of an existing building. This usually introduces limitations – you cannot move operating theatres, or linear accelerators, for example. This is not a deal-breaker: Lean is built around continuous improvement, so incremental…

Lean: Methods or Approach?

I’ve been reading ‘The Birth of Lean’ by Takahiro Fujimoto and Koichi Shimokawa, published by the Lean Enterprise Institute. It’s a collation of interviews with Taiichi Ohno, and some of the other people who played important roles in the development of Lean methods. In this book, the path to Lean becomes less of the triumphal…

Lean Insights from Sport

Mark Graban is a well known writer and blogger about Lean. His blog is well worth reading. He’s written several books, and I plan to devote a future post to his Lean Hospital book. This post is prompted by Lean Blog: Sports, a book that collects together some of his blog posts on Lean and sports.…