Lean thinking in emergency departments: concepts and tools for quality improvement
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Lean thinking in emergency departments: concepts and tools for quality improvement

Frances Bruno Nurse clinician, McGill University Health Centre, Montreal, Canada

The lean approach is a viable framework for reducing costs and enhancing the quality of patient care in emergency departments (EDs). Reports on lean-inspired quality improvement initiatives are rapidly growing but there is little emphasis on the philosophy behind the processes, which is the essential ingredient in sustaining transformation.

This article describes lean philosophy, also referred to as lean, lean thinking and lean healthcare, and its main concepts, to enrich the knowledge and vocabulary of nurses involved or interested in quality improvement in EDs. The article includes examples of lean strategies to illustrate their practical application in EDs.

Emergency Nurse. 25, 6, 38-41. doi: 10.7748/en.2017.e1679



Peer review

This article has been subject to external double-blind peer review and checked for plagiarism using automated software

Conflict of interest

None declared

For author guidelines, go to rcni.com/writeforus

Received: 29 November 2016

Accepted: 29 August 2017

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