PROYECTO: Logística hospitalaria CONTENIDO:A NEW IDEA
Change or Die
Physician-Centric
Germ of a New Idea
Toyota Mantra: Eliminate Waste
JOURNEY TO JAPAN
A Daring New Path
Skepticism
The First Trip
An Industrial Symphony
"Aren’t You Ashamed?"
The Missing Piece
"This Is Ludicrous"
No Going Back
THE BLUE YARN
A Revealing Value Stream
The Patient’s Voice
New Space, New Process
Continuous Improvement
Standard Work
A Singular Success
SAFETY CRUSADE
Patient Safety Alerts™
A Nurse’s Courage
A Doctor’s Courage
Why Shouldn’t Everybody Get a Flu Shot?
Mrs. Mary McClinton
Mistake Proofing
A Culture of Safety
Evolution of the PSA System
AMBULATORY CARE BREAKTHROUGH
Stress on Primary Care
Moving the Mountain of Waits
Mistake-Proofing Care: Early Steps
Creating a New Tool
Inventing the Flow Station
Breakthrough
Skill–Task Alignment
Primary Care Transformed
Going to Jidoka
External Setup
Biggest Room in the House
TRANSFORMING PROCEDURAL CARE
Creating a New Ambulatory Surgical Experience
Design Challenge
Listening to Patients
Setup Reduction
Breakthrough
Center for Hyperbaric Medicine
Ask Why
Patient Focused
TRANSFORMING INPATIENT CARE
Geographic Cells
Report/Handoff
In-Room Documentation
Visual Work Environment
Medical Emergency Teams
Hourly Rounding: From Reactive to Proactive
Knowing the Frontline Work
Dramatic Change in Nurse Culture
Shorter Length of Stay
BETTER, FASTER, MORE AFFORDABLE
Identifying The Customer
"We Can Do Better"
Value Stream Reveals Huge Waste
Same-Day Access
Marketplace Defines Quality
Home Run
Financial Conundrum
Perverse Incentives
MANAGEMENT METHOD
Seeing Virginia Mason with Fresh Eyes
Structure and Discipline
Training within Industry
Standard Work: Hand Hygiene
World-Class Management
Daily Management
"The State of the Union Every Tuesday Morning"
"Everybody Can Be a Leader"
Leadership
THE JOURNEY CONTINUES
Will You Teach Us?
If You Build It
Role Model
The Virginia Mason Institute "Accountable Outside Our Own Walls"
The Obstacle of Arrogance
A Nonsystem
A Sense of Hope
The Journey Continues
"We’re Just Getting Started"
SOURCE NOTES
APPENDIX
Applying VMPS to Business Functions
Relentless Attack on Waste
Bringing Flow Stations to Specialty Department
General Internal Medicine: Spreading Innovation in Ambulatory Care
Breaking Down Silos
Skill–Task Alignment
Uphill Battle
Restructuring
Introducing Flow Stations
The New GIM
Index
