Using lean process improvement to enhance safety and value in orthopaedic surgery: The case of spine surgery

Rajiv Sethi, Vijay Yanamadala, Douglas C. Burton, Robert Shay Bess

Research output: Contribution to journalReview articlepeer-review

14 Scopus citations

Abstract

Lean methodology was developed in the manufacturing industry to increase output and decrease costs. These labor organization methods have become the mainstay of major manufacturing companies worldwide. Lean methods involve continuous process improvement through the systematic elimination of waste, prevention of mistakes, and empowerment of workers to makechanges. Because of the profit and productivity gains made in the manufacturing arena using lean methods, several healthcare organizations have adopted lean methodologies for patient care. Lean methods have now been implemented in many areas of health care. In orthopaedic surgery, lean methods have been applied to reduce complication rates and create a culture of continuous improvement. A step-by-step guide based on our experience can help surgeons use lean methods in practice. Surgeons and hospital centers well versed in lean methodology will be poised to reduce complications, improve patient outcomes, and optimize cost/benefit ratios for patient care.

Original languageEnglish (US)
Pages (from-to)e244-e250
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume25
Issue number11
DOIs
StatePublished - 2017
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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