MR-guided brachytherapy for cervical cancer: Quantifying process waste and identifying opportunities for system performance improvement.

Purpose: The aim of this study was to evaluate the current cervical cancer magnetic resonance-guided brachytherapy (MRgBT) process in the study institution and seek opportunities to improve efficiency and optimize quality of care.

Methods: Eight procedures were observed where the time, location, and activities performed by health care professionals were recorded using Lean method principles. Wastes, as defined within Lean methodology, were identified during the observation.