Relentless quality improvement over time

Lean is often associated with big improvement events, such as an Rapid Process Improvement Workshop (RPIW).  There is no magical quality to an RPIW, however – it is an efficient way of bringing people together to undertake concentrated work on a service problem, but not all change happens in an RPIW, and it is not…

What is takt time?

Health care, I’m often told, is different. This usually means, ‘different from industry’, and certainly different from car making. This is true, of course. In health care it is often the interaction of staff and patient that carries the greatest value. Generating the time and space for this to happen, and making sure that the…

Standard Processes

There are published examples of the use of Lean in many types of health care. There are fewer descriptions of the use of Lean in mental health, but they are beginning to appear. Kislinsky and Younger, from St Joseph’s Healthcare in Hamilton, Ontario, have produced a useful description of work to improve flow in an acute…