The University of Pittsburgh Medical Center Shadyside is a leading member of IHI's effort to redesign patient care in hospital medical and surgical units. The project, known as TCAB (Transforming Care at the Bedside), draws inspiration and many of its principles from Lean production concepts, made famous by Toyota. University of Pittsburgh Medical Center Shadyside is discovering how lean practices can improve patient care.

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(c) Lean Enterprise Institute (Brookline, MA, www.lean.org 617 713-2900). Reprinted with permission. The Lean Enterprise Institute is a nonprofit training, publishing, and research organization founded by James Womack, PhD, in August 1997. It has developed simple but powerful tools for implementing a set of ideas known as lean thinking.