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Lean Healthcare in the Emergency Ward of Sahlgrenska Hospital
University of Borås, School of Engineering.
University of Borås, School of Engineering.
2009 (English)Independent thesis Advanced level (degree of Master (One Year))Student thesis
Abstract [en]

Customer satisfaction in healthcare organizations has higher priority than in industrial companies because the patient is the customer and the health of patient is the aim. So, a methodology like Lean which can help to increase patient satisfaction is practical and useful for implementation in healthcare sectors. This dissertation is based upon a Lean healthcare in the emergency ward of Sahlgrenska hospital and explains that the main step of Lean healthcare is to change the culture from traditional thinking to Lean thinking. In order to reach this goal, the research instruments used are: interview, triage data base, spending time at emergency ward, and value stream mapping. The focus of this thesis work is to find the best combination of medicine doctors and surgeons that would optimize the performance. By using Arena simulation software, it has been identified that three medicine doctors and three surgeons can decrease the non-value added time and total time in sequence 13.1% and 1.6 % for each patient. Indeed, the 5S steps in all parts of the emergency ward have been practiced as best suited to the surroundings of the ward. The place of Triage room two for the patients who arrive by ambulance is extended for better and faster service. A Lean team is trained for following up the Lean principles in the ward and report the progress to the management. The results and suggestions are in two kinds. First are short term suggestions like to hire one medicine doctors and two surgeons, to hold more training classes for all staff, and to allot a number for each patient bed. Second are long term recommendations such as to change the layout of the emergency ward and use a partition instead of a room.

Place, publisher, year, edition, pages
University of Borås/School of Engineering , 2009.
Series
Magisteruppsats
Keywords [en]
lean healthcare, value stream mapping
National Category
Engineering and Technology
Identifiers
URN: urn:nbn:se:hb:diva-19579Local ID: 2320/5479OAI: oai:DiVA.org:hb-19579DiVA, id: diva2:1311513
Available from: 2019-04-30 Created: 2019-04-30

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CiteExportLink to record
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