Conducting Observations in Clinical Areas

I’m going to start a series of posts on the type of observations that can be useful in Lean work, and on the forms that are often used to collect and display the information. In advance of that, I want to write about observation etiquette. In an ideal state, everyone in a work area knows…

Steps to Zero Defects

The idea that you can get to zero defects causes people problems. It sounds impossible. Most people agree with the aim, and are happy with the idea that there are only two numbers to which you should aspire in quality – 0% and 100%, depending on how the target is worded. Aspirations are fine, but…

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…

Using 5S in health care – guest post by Jane Howe

In a recent post “With Lean, how big is too big?” Cameron discusses the problems of a large-scale Lean implementation in health care provision in Saskatchewan. He suggests the issues are about context, preparation, style, scale and sustainability. I think these categories are applicable to most if not all Lean implementations, regardless of size. Take my own…

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…