• J Nurs Adm · Nov 2014

    Using LEAN to improve a segment of emergency department flow.

    • Courtney Vose, Christine Reichard, Susan Pool, Megan Snyder, and David Burmeister.
    • Author Affiliations: Administrator, Patient Care Services (Ms Vose); Administrative Partner, Patient Care Services (Ms Reichard); Systems Analyst, Care Continuum (Ms Pool); Director, Patient Care Services (Ms Snyder); Chair, Department of Emergency Medicine (Dr Burmeister), Lehigh Valley Health Network, Allentown, Pennsylvania.
    • J Nurs Adm. 2014 Nov 1;44(11):558-63.

    AbstractEmergency department (ED) overcrowding is an organizational concern. This article describes how Toyota LEAN methods were used as a performance improvement framework to address ED overcrowding. This initiative also impacted "bolus of patients" or "batching" concerns, which occur when inpatient units receive an influx of patients from EDs and other areas at the same time. In addition to decreased incidence of overcrowding, the organization realized increased interprofessional collaboration.

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