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Systematically Improving Operating Room Patient Flow Through Value Stream Mapping and Kaizen Events

Summary: Value stream maps (VSMs)are effective tools for facilitating incremental improvements to complex healthcare processes. Thomas Jefferson University Hospitals utilized the VSM approach to identify and execute seven lean projects within the perioperative department over four years. Results include preadmission testing reduction in length of visit from 110 to 92 minutes, 36 percent reduction in preoperative patient waiting, and an improvement of on-time first-case starts from 56 to 67 percent.

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