Quality Improvement Success

Introducing Lean in to an organisation takes work. Sometimes it flies. In other cases it is a long, hard slog, or is abandoned altogether. I’ve written about problems in using Lean in the past, including in a book review and a discussion of problems in Canada.  In this post, I want to talk about the…

Lean and Person-Centred Care

I am running teaching on Lean for first line health and social care managers. The groups include Charge Nurses, Team Leaders, Senior Staff Nurses, Care Home Managers, dental team leaders and people with similar responsibilities. With a few exceptions, they are people who have been promoted from posts in which all their time was spent…

Washington State Government Lean Materials

Results Washington of the Washington State Government seems to have taken a great interest in Lean techniques. They have sponsored a series of conferences and, as befits a public agency, a lot of the presentations are available on-line, either as pdf files or, in some cases, as YouTube videos of the presentations themselves. The video…

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…

Websites on Lean

I’ve written two previous posts on website on Lean, including a post on academic resources, and a post describing the excellent NHS Scotland QI hub. Since then, I have come across other useful websites, and I will list a few here. The striking thing about typing Lean Healthcare in to a search engine is that…

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.…