2.50
Hdl Handle:
http://hdl.handle.net/10755/303995
Category:
Abstract
Type:
Presentation
Title:
Lean Methodology: An Evidence-Based Practice Solution
Author(s):
Johnson, Pauline Marie
Lead Author STTI Affiliation:
Zeta Omega
Author Details:
Pauline Marie Johnson, DNP, APRN, FNP-BC, pjohnson48@gmail.com
Abstract:

Session presented on: Tuesday, July 23, 2013

Lean methodology, a robust evidence-based practice approach adopted from the Toyota Production System in Japan, is a 21st century practice improvement solution. This approach, also known as Breakthrough by the New York City Health and Hospital Corporation, is currently used by healthcare leaders to improve health systems. This is best described as a combination of philosophy, process, people and structured problem solving. Lean is grounded on the two key pillars, respect for all people and continuous improvement. This methodology became popular in the1980s when the world recognized the quality and efficiency of the Toyota brand. Lean methodology uses data from research studies, patient satisfaction surveys and quality improvement initiatives to drive organizational change. This evidence-based practice solution is been successfully employed in acute care hospitals to decrease 30-day readmission rates for patients with chronic heart failure, using the interdisciplinary team approach. The interdisciplinary team remains fully engaged with patients and their families throughout the process. This evidence-based approach has resulted in improved healthcare outcomes for patients, increased staff satisfaction and decreased healthcare cost. A Lean culture of continuous improvement supports the mission of the organization and the capabilities of each member of the interdisciplinary team. In addition, Lean identifies and tackles the true cause of readmission using the rapid improvement event, a process that identifies the root of a problem. Finally, evaluations are conducted daily, weekly and monthly by walking the Gemba (where the work is being done) with the goal of making adjustments and yielding sustainable incremental changes. Clinical nursing leaders are well positioned to become lean experts in transforming healthcare. An example applying Lean methodology, as a robust evidence-based practice approach will be presented, demonstrating the steps and measurable outcomes achieved.
Keywords:
evidence-based practice; heart failure readmission rate; Lean methodology
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleLean Methodology: An Evidence-Based Practice Solutionen_GB
dc.contributor.authorJohnson, Pauline Marieen_GB
dc.contributor.departmentZeta Omegaen_GB
dc.author.detailsPauline Marie Johnson, DNP, APRN, FNP-BC, pjohnson48@gmail.comen_GB
dc.identifier.urihttp://hdl.handle.net/10755/303995-
dc.description.abstract<p>Session presented on: Tuesday, July 23, 2013</p>Lean methodology, a robust evidence-based practice approach adopted from the Toyota Production System in Japan, is a 21<sup>st</sup> century practice improvement solution. This approach, also known as Breakthrough by the New York City Health and Hospital Corporation, is currently used by healthcare leaders to improve health systems. This is best described as a combination of philosophy, process, people and structured problem solving. Lean is grounded on the two key pillars, respect for all people and continuous improvement. This methodology became popular in the1980s when the world recognized the quality and efficiency of the Toyota brand. Lean methodology uses data from research studies, patient satisfaction surveys and quality improvement initiatives to drive organizational change. This evidence-based practice solution is been successfully employed in acute care hospitals to decrease 30-day readmission rates for patients with chronic heart failure, using the interdisciplinary team approach. The interdisciplinary team remains fully engaged with patients and their families throughout the process. This evidence-based approach has resulted in improved healthcare outcomes for patients, increased staff satisfaction and decreased healthcare cost. A Lean culture of continuous improvement supports the mission of the organization and the capabilities of each member of the interdisciplinary team.<sup> </sup>In addition, Lean identifies and tackles the true cause of readmission using the rapid improvement event, a process that identifies the root of a problem. Finally, evaluations are conducted daily, weekly and monthly by walking the Gemba (where the work is being done) with the goal of making adjustments and yielding sustainable incremental changes. Clinical nursing leaders are well positioned to become lean experts in transforming healthcare. An example applying Lean methodology, as a robust evidence-based practice approach will be presented, demonstrating the steps and measurable outcomes achieved.en_GB
dc.subjectevidence-based practiceen_GB
dc.subjectheart failure readmission rateen_GB
dc.subjectLean methodologyen_GB
dc.date.available2013-10-22T20:27:18Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:27:18Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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