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Eliminate Waste:
Eliminate Things That Are Not Used

Constant change in organizations results in less demand for specific resources and activities that were once important to the business. Unnecessary activities and unused resources can be identified through surveys, audits, data collection, and analysis of records. After identifying unused resources, take the obvious actions to remove them from the system.




Examples of Tests of this Change

To reduce turnover time between coronary artery bypass graft (CABG) procedures, nurses in one hospital prepare the instrument table while the prior case is still in progress. The nursing staff can set up the instrument table in a separate room so that it is completely ready to go, and then place sterile drapes over it. When the prior case is completed, the dirty table is removed from the room, the housekeeping staff cleans the floor, and the pre-prepared table is moved in. All the scrub nurse has to do is remove the sterile drapes. In this way, a task typically done within the process of room turnover-preparation of the back table-is converted to a task done outside of the process.


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