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

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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

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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.

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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: Bassham, Jane E
Dougherty, Melissa L
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: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 16 d)
doi.wiley.com/10.1002/tdm_license_1.1 (tdm)
Locations: The Medical Journal of Australia (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Quality and Management
Social Sciences › Decision Sciences › Management Science and Operations Research › 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

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

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