The Definitive Guide to Emergency Department
Operational Improvement
Employing Lean Principles with Current ED Best Practices to
Create the "No Wait" Department
Jody Crane, MD, MBA
Emergency Physician, Mary Washington Hospital, Fredericksburg, Virginia, USA
Chuck E. Noon, Ph.D.
Professor of Management Science, College of Business, University of Tennessee, Knoxville, USA
ISBN: 978-1-4398-0840-5, April 2011, 353 pp., Soft Cover
Offering a solution to this fiscal and medical madness often associated with emergency
departments (EDs), this step-by-step guide shows how the application of
Lean principles can lead to more efficient, cost-effective, and patient-friendly departments. Illustrating the
application of Lean tools and concepts in EDs across the country, the book highlights three commonly referenced
intervals in the ED: door to doc (input), doc to disposition (throughput), and disposition to departure
(output). After reviewing best practices, the authors explain how to achieve excellence in your own environment
by discussing change management, leadership, dealing with resistance, and other critical elements of
creating a culture of change.
