1. Lean Thinking
by: Wafa AlAhmed
Organizational Approaches to the Delivery of Care GM51024_6_15
Dundee University- Dasman Diabetic Institute
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3. Definition
Lean is the culture of creating value & eliminating ‘waste’
• Enhance safety
• Improve quality
• Improve productivity
• Improve efficiency
• Reduce cost
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4. Lean Thinking
• Lean thinking was derived from
Toyota organization in 1950
• Healthcare sector adopted lean in 2000
to improve the quality of its services
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6. 1st Lean Principles
Specify value from the customer viewpoint
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7. 2nd Lean Principles
• Identify the value stream
and eliminate waste
• Value Stream: A set of activities necessary to
bring a service to the customer
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8. Types of Work Activities
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9. Types of Waste
The elimination of waste is the main characteristic of Lean.
Waste is everything that doesn’t add value to the patient or process.

10. Value Stream Mapping
Taxi Service Work Flow
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11. Plan, Do, Check, Adjust (PDCA)
Sometimes known as PDSA (Plan, Do, Study, Act) cycle
• (PDCA) cycle provides a means of conducting safe
experimentation or a number of trials to see the effect of any
changes made in a bid to make improvement

12. Plan, Do, Check, Adjust (PDCA) Cycle
P - Plan: The trial is the most important part of the
process.
• What you are planning to trial?
• What are your objectives?
• Who is needed to be involved/informed?
• How are you going to do it?
• How long will the trial run?
• How are you going to measure improvement?
• What is your communication plan?
D - Do: Carry out the trial
• Test the change and collect the data.
C - Check: Study the results
• Analyze the data you collected in the ‘plan’ and ‘do’
phase
• Discuss outcomes with colleagues?
• What went well?
• What went wrong?
• Did anything unexpected happen?
• Could the process be improved?
• If the trial didn’t go to plan, what was the root cause?
A - Adjust: Act on the results
• If the trial did not improve the process, could you treat
the root cause in your next PDCA cycle?
• If the change was a measurable success, adopt and
spread the improvement in your PDCA cycle.

13. 3rd Lean Principles
• Make value flow at the pull of the customer
• Flow is the goal
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14. 4th Lean Principles
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Supply what is pulled by the
customer
• Buffer
Holding area between
two processes.
• Kanban
Visual signs

15. Kanban Visual management
https://www.youtube.com/watch?v=rkpadFfyCqo

16. Perfection
5th Lean Principles

17. Using 5S to improve safety
5S is the basis for standardizing work to
make the processes and environment safe.
It is used to improve efficiency by
eliminating waste, promoting flow,
improving staff morale and most
importantly improving safety.

18. Why Standardized work is
important?
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