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Quality Improvement in Ambulatory Anesthesia: Making Changes that Work for You.

Authors
  • Jankowski, Christopher J1
  • Walsh, Michael T2
  • 1 Mayo Clinic College of Medicine and Science, Charlton 1-145, 200 First Street, Southwest, Rochester, MN 55905, USA. Electronic address: [email protected]
  • 2 Mayo Clinic College of Medicine and Science, Charlton 1-145, 200 First Street, Southwest, Rochester, MN 55905, USA.
Type
Published Article
Journal
Anesthesiology clinics
Publication Date
Jun 01, 2019
Volume
37
Issue
2
Pages
349–360
Identifiers
DOI: 10.1016/j.anclin.2019.01.013
PMID: 31047134
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

The pace of busy ambulatory surgical practice makes it difficult to begin and sustain quality improvement efforts. However, evolving patient and payer expectations of high-value care make these endeavors more urgent. Lean, a term coined in 1990 to describe the Toyota Production System, has been applied by large and small health systems to eliminate waste; increase value for customers; and develop the ability of physicians, nurses, and other health care workers to manage and continuously improve their work. This article reviews some of the steps necessary to successfully adopt lean in an ambulatory surgical setting. Copyright © 2019 Elsevier Inc. All rights reserved.

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