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Lean thinking: can it improve the outcome of fracture neck of femur patients in a district general hospital?

Yousri, T A and Khan, Z and Chakrabarti, D and Fernandes, R and Wahab, K (2011) Lean thinking: can it improve the outcome of fracture neck of femur patients in a district general hospital? Injury, 42 (11). pp. 1234-7. ISSN 1879-0267. This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs

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Official URL: http://www.injuryjournal.com/article/S0020-1383(10...

Abstract

We present our experience in the management of hip fracture patients after the application of a value-stream approach, the Lean framework, in our trust. This system uses available resources in an efficient manner whilst eliminating waste. A statistically significant reduction of 5% and 9.3% was noted in the 30-day and overall mortality, respectively, after implementing 'Lean thinking'. Further improvements were also noted in door-to-theatre time, use of trauma beds and early discharge from hospitals. To our knowledge, this is the largest study in the literature where the Lean framework has been successfully employed for the management of a very challenging health-care issue faced by the National Health Service. Future prospective studies are, however, needed to reconfirm these results and to evaluate the components that are most critical to the success of the implemented framework.

Item Type: Article
Additional Information: This article is accessible to all HEFT staff and students via NHS Evidence www.evidence.nhs.uk by using their HEFT Athens login IDs
Subjects: WX Health services > WX200 General management
Divisions: Planned IP Care > Trauma and Orthopaedics
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Depositing User: Mr Philip O'Reilly
Date Deposited: 25 Jun 2014 14:03
Last Modified: 25 Jun 2014 14:03
URI: http://www.repository.heartofengland.nhs.uk/id/eprint/313

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