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Lean Initiatives: A Case Study

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However, there is no supported evidence for the efficiency of Lean techniques in EDs (Vermeulen et al. 2014a). Like any health care intervention, the implementation of Lean should be evidence based, with reasonable expectations of benefits, proper evaluation, and an awareness of potential downsides (Gowen Iii, Stock and McFadden 2008). Although the specific costs of this particular program were not available, Lean initiatives in general are not inexpensive, given the need for external consultants, data collection tools, and staff time that must be assigned to quality improvement teams (System 2006). In-patient/out-patient care at hospitals is considered to be a major access block in healthcare systems (Jones and Filochowski 2006). Consequently,

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