Buch(elektronisch)2019

Applying Lean in Health and Social Care Services: Improving Quality and the Patient Experience at NHS Highland

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Abstract

Cover -- Half Title -- Title Page -- Copyright Page -- Dedication Page -- Contents -- Foreword -- Acknowledgements -- 1: Introduction -- 1.1 Introduction -- 1.2 Quality -- 1.3 Quality in Health and Social Care -- 1.3.1 Primary Care -- 1.3.2 Secondary Care -- 1.4 Development of Quality Improvement in Health and Social Care -- 1.5 The Importance of Context -- 1.6 Effectiveness of Quality Improvement in Organisations -- 1.7 Applying a Method -- 1.8 Challenges in Applying Lean in Health and Social Care -- 1.9 Conclusions -- 2: Value and Waste -- 2.1 Aims of the Chapter -- 2.2 Examples of Value and Waste -- 2.3 Value Definition -- 2.4 Waste Definition -- 2.4.1 Jargon Buster: Waste -- 2.5 Types of Waste -- 2.5.1 Waiting -- 2.5.1.1 Waiting Examples -- 2.5.2 Over-Processing -- 2.5.2.1 Over-Processing Examples -- 2.5.2.2 Over-Processing: History Note -- 2.5.3 Defects -- 2.5.3.1 Defects Examples -- 2.5.4 Transportation -- 2.5.4.1 Transportation Examples -- 2.5.5 Motion -- 2.5.5.1 Motion Examples -- 2.5.6 Overproduction -- 2.5.6.1 Overproduction Examples -- 2.5.7 Inventory -- 2.5.7.1 Inventory Examples -- 2.5.8 Practice Tip -- 2.6 Working with Teams -- 2.7 Conclusions -- Further Reading -- 3: 5S -- 3.1 Aims of the Chapter -- 3.2 Introduction -- 3.2.1 Waste Examples -- 3.3 Reasons to Undertake 5S -- 3.4 Stages of 5S -- 3.4.1 History Note -- 3.5 Getting Started -- 3.6 Sort -- 3.6.1 Sort Tips -- 3.7 Set in Order -- 3.7.1 Set in Order Tips -- 3.8 Sweep -- 3.8.1 Sweep Tip -- 3.9 Standardise -- 3.10 Sustain -- 3.10.1 Sustain Tip -- 3.11 Practice Example -- 3.12 Conclusions -- Further Reading -- 4: Improvement Cycles -- 4.1 Aims of the Chapter -- 4.2 Introduction -- 4.3 Deciding on the Work to Prioritise -- 4.4 Identifying the Need for a PDSA Cycle -- 4.5 Preparation -- 4.5.1 What Are We Trying to Accomplish? -- 4.5.1.1 What Is the Nature of the Problem?

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