CoChat
Sign Up
Cited by 139Healthcare Quality and ManagementHealthcare Operations and Scheduling OptimizationEmergency and Acute Care Studies

Redesigning care at the Flinders Medical Centre: clinical process redesign using “Lean thinking.”

Ben‐Tovim, David I, Bassham, Jane E, Bennett, Denise M, Dougherty, Melissa L, Martin, Margaret A, O’Neill, Susan J, Sincock, Jackie L, Szwarcbord, Michael G·2008·Medical Journal of Australia
DOI 10.5694/j.1326-5377.2008.tb01671.x
Open this paper in CoChat — free account

Abstract

*The Flinders Medical Centre (FMC) Redesigning Care program began in November 2003; it is a hospital-wide process improvement program applying an approach called "lean thinking" (developed in the manufacturing sector) to health care. *To date, the FMC has involved hundreds of staff from all areas of the hospital in a wide variety of process redesign activities. *The initial focus of the program was on improving the flow of patients through the emergency department, but the program quickly spread to involve the redesign of managing medical and surgical patients throughout the hospital, and to improving major support services. *The program has fallen into three main phases, each of which is described in this article: "getting the knowledge"; "stabilising high-volume flows"; and "standardising and sustaining". *Results to date show that the Redesigning Care program has enabled the hospital to provide safer and more accessible care during a period of growth in demand.

Integrity signals

Registry

Crossref · 10.5694/j.1326-5377.2008.tb01671.x

Cites

9 of 9 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Patient safety changes were only measured in one study, and even then only indirectly.

    “Patient safety changes were only measured in one study, and even then only indirectly [71].”

    From Lean Thinking in Emergency Departments: A Critical Review (2011) · cites this paper as [71]

  • Three studies combined Lean with Six Sigma, and another also borrowed from many other manufacturing philosophies.

    “Three studies [69, 82, 83] combined Lean with Six Sigma, a quality improvement method based on minimizing variability, while another also “borrowed from many other manufacturing philosophies” [71].”

    From Lean Thinking in Emergency Departments: A Critical Review (2011) · cites this paper as [71]

Cites

Flagged first, then by citations

1 of the 10 references couldn’t be matched to a known paper.

Cited by

Sorted by citations

Related

Authors
Ben‐Tovim, D. I., Bassham, J. E., Bennett, D. M., Dougherty, M. L., Martin, M. A., O’Neill, S. J., Sincock, J. L., & Szwarcbord, M. G.
Affiliations
  • Flinders Medical Centre, Adelaide, SA.
  • Flinders Medical Centre (AU)
  • University of South Australia (AU)
ORCID
Venue
Medical Journal of Australia
Publisher
AMPCo
Published
2008-03
Volume
188
Issue
S6
Pages
S27-31
ISSN
  • 0025-729X (ISSN-L)
  • 1326-5377
DOI
10.5694/j.1326-5377.2008.tb01671.x
OpenAlex
W2168133647
Cited by
139
References
10
Citations by year
2026: 2 · 2025: 2 · 2024: 3 · 2023: 4 · 2022: 3 · 2021: 8 · 2020: 5 · 2019: 6 · 2018: 11 · 2017: 3 · 2016: 9 · 2015: 16 · 2014: 13 · 2013: 10 · 2012: 11
FWCI
24.15
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • The Medical Journal of Australia (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Health Information Management › Healthcare Quality and Management
  • Health Sciences › Health Professions › Emergency Medical Services › Healthcare Operations and Scheduling Optimization
  • Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
Keywords
lean thinking, hospital process improvement, emergency department patient flow, patient flow, standardization of care, patient safety
MeSH terms
Academic Medical Centers, Appointments and Schedules, Health Services Accessibility, Health Services Needs and Demand, Hospitalization, Humans, New South Wales, Organizational Innovation, Patient Care Planning, Patient Care Team

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review