Integrating Lean Exploration Loops Into Healthcare Facility Design.

Purpose: To explore what, when, and how Lean methods and tools can add value during the programming phase of design through providing additional resources and support to project leadership and the architectural design team.

Background: This case study-based research took place at one large academic hospital during design efforts of a surgical tower to house 19 operating rooms (ORs) and support spaces including pre- and postop, central processing and distribution, and materials management. Surgical services project leadership asked for support from Lean practitioners during the design process.

Integrating Lean Exploration Loops Into Healthcare Facility Design.

Purpose: To explore how Lean can add value during the schematic phase of design through providing additional resources and support to project leadership and the architectural design team.

Background: This case study-based research took place at one large academic hospital during design efforts of surgical tower to house 19 operating rooms (ORs) and support spaces including pre- and post-op, central processing and distribution, and materials management. Surgical services project leadership asked for Lean practitioners' support during the design process.

The association between event learning and continuous quality improvement programs and culture of patient safety.

Purpose: To present our approach and results from our quality and safety program and to report their possible impact on our culture of patient safety.

Methods And Materials: We created an event learning system (termed a "good catch" program) and encouraged staff to report any quality or safety concerns in real time. Events were analyzed to assess the utility of safety barriers.