Caldwell G
Diabetes Centre Worthing Hospital, Worthing, UK.
Acute Med. 2012;11(3):161-5.
Proponents of Lean Philosophy believe that successful businesses must reduce waste in working time and resources to a minimum, and maximise their use in productive work. The productive work of the Acute Medical Unit is to provide effective clinical management to a daily cohort of acutely ill patients. Many Clinicians are cynical about Lean. In this article, Dr Caldwell discusses how many clinicians complain of too much crap in the workplace, which gets in the way of swift, safe high quality clinical care. He argues that "Cutting the Crap" in the Acute Medical Unit is entirely consistent with Lean approaches to management of complex systems.
精益理念的支持者认为，成功的企业必须将工作时间和资源的浪费降至最低，并在生产性工作中最大限度地加以利用。急性医疗单元的生产性工作是为每天一批急重症患者提供有效的临床管理。许多临床医生对精益持怀疑态度。在本文中，考德威尔博士探讨了许多临床医生如何抱怨工作场所存在太多的“废话”，这些“废话”妨碍了迅速、安全的高质量临床护理。他认为，在急性医疗单元“剔除废话”与管理复杂系统的精益方法完全一致。
