In the publications listed below, discover how Virginia Mason’s team of health care leaders, providers and staff used lean tools and processes to achieve significant gains in quality, safety and patient experience.

Note: Some of these reading materials may require subscriptions.

Evaluation of the Association of Public Reporting of Patient Ratings of US Primary Care Providers with Inappropriate Care

Kamo, N., Williams, B.L. & Blackmore, C.C. J GEN INTERN MED (2019) 34: 336.

Early, Nurse-Directed Sepsis Care

Ferguson, A., Coates, D., Osborn, S., Blackmore, C. and Williams, B. (2019). Early, Nurse-Directed Sepsis Care. AJN, American Journal of Nursing, 119(1), pp.52-58.

Transforming concepts in patient safety: a progress report

Gandhi TK, Kaplan GS, Leap L, et al. BMJ Qual Saf Published Online. 2018;doi: 10.1136/bmjqs-2017-007756.

Applying Lean Methods to Improve Quality and Safety in Surgical Sterile Instrument Processing

Blackmore CC, Bishop R, Luker S, Williams B. Applying lean methods to improve quality and safety in surgical sterile instrument processing. Jt Comm J Qual Patient Saf. 2013; 39(3): 99-105.

Nurse Practitioner-Staffed Clinic at Virginia Mason Improves Care and Lowers Costs for Women with Benign Breast Conditions

Blackmore CC, Edwards JW, Searles C, Wechter D, Mecklenburg R, Kaplan GS. Nurse practitioner-staffed clinic at Virginia Mason improves care and lowers costs for women with benign breast conditions. Health Affairs. 2013; 32(1): 20-6.

Transforming Ward Rounds Through Rounding-in-Flow

Calderon AS, Blackmore CC, Williams BL, et al. Transforming ward rounds through rounding-inflow. J Grad Med Educ. 2014; 6(4): 750-755.

Using Lean to Improve Medication Administration Safety: In Search of the “Perfect Dose”

Ching JM, Long C, Williams BL, Blackmore CC. Using lean to improve medication administration safety: In search of the “perfect dose.” Jt Comm J Qual Patient Saf. 2013; 39(5): 195-204.

Using Lean “Automation With a Human Touch” to Improve Medication Safety: a Step Closer to the “Perfect Dose”

Ching JM, Williams BL, Idemoto LM, Blackmore CC. Using lean “automation with a human touch” to improve medication safety: A step closer to the “perfect dose.” Jt Comm J Qual Patient Saf. 2014; 40(8): 341-350. doi: 10.2146/ajhp140790

Application of Lean Methodology for Improved Quality and Efficiency in Operation Room Instrument Availability

Farrokhi FR, Gunther M, Williams B, Blackmore CC. Application of lean methodology for improved quality and efficiency in operating room instrument availability. J Healthc Qual 2013. DOI: 10.1111/jhq.12053

Using Experience-Based Design to Improve the Care Experience for Patients With Pancreatic Cancer  

Hagensen A, London AE, Phillips JJ, Helton W, Picozzi V, Blackmore CC. Using experience-based design to improve the care experience for patients with pancreatic cancer. J Oncol 2016. DOI: 10.1200/JOP.2016.011213

Implementation of a Custom Alert to Prevent Medication-Timing Errors Associated With Computerized Prescriber Order Entry 

Idemoto L, Williams B, Ching J, Blackmore CC. Implementation of a custom alert to prevent medication-timing errors associated with computerized prescriber order entry. Am J Health Syst Pharm. 2015; 72(17): 1481-8. doi: 10.2146/ajhp140790

Health Care Scheduling and Access | A Report From the IOM

Kaplan GS. Health care scheduling and access: A report from the IOM. JAMA. July 30, 2015 (online). doi:10.1001/jama.2015.9431

Why Lean Doesn’t Work for Everyone

Kaplan GS, Patterson SH, Ching JM, Blackmore CC. Why Lean doesn’t work for everyone. BMJ Qual Saf. 2014; 0: 1-4.

Bar-Coded Medication Administration Brings Trade-Offs Even With Humane Automation and Lean Approaches

Koppel R. Bar-coded medication administration brings trade-offs even with humane automation and lean approaches. Jt Comm J Qual Patient Saf. 2014; 40(8): 339-40.

The Employer-Led Health Care Revolution

McDonald P, Mecklenburg R, Martin L. The employer-led health care revolution. Harvard Business Review. July/August 2015.

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Engaging Frontline Leaders and Staff in Real-Time Improvement

Phillips J, Hebish LJ, Mann S, Ching JM, Blackmore CC. Engaging frontline leaders and staff in real-time improvement. Jt Comm J Qual Patient Saf. 2016; 42(4): 170-178.

Improving Acute Respiratory Infection Care Through Nurse Phone Care and Academic Detailing of Physicians

Pittenger K, Williams B, Mecklenburg R, Blackmore CC. Improving acute respiratory infection care through nurse phone care and academic detailing of physicians. J Am Board Fam Med. 2015; 28(2): 195-204.

Experience-Based Design for Integrating the Patient Care Experience Into Healthcare Improvement: Identifying a Set of Reliable Emotion Words

Russ LR, Phillips J, Brzozowicz K, et al. Experience-based design for integrating the patient care experience into healthcare improvement: Identifying a set of reliable emotion words. Healthcare. 2013; 1-9.

Redesigning an Airway Cart Using Lean Methodology

Weigel W. Redesigning an airway cart using lean methodology. J Clin Anesth. 2016; 33: 273–282.

Pharmacist Prescribing Within an Integrated Health System in Washington

Woolf R, Locke A, Potts C. Pharmacist prescribing within an integrated health system in Washington. Am J Health Syst Pharm. 2016; 73(18): 1416–1624.

Multidisciplinary Evaluation Leads to the Decreased Utilization of Lumbar Spine Fusion: An Observational Cohort Pilot Study.

Yanamadala V, Kim Y, Buchlak QD, Wright AK, Babington J, Friedman A, Mecklenburg RS, Farrokhi F, Leveque JC, Sethi RK. Multidisciplinary evaluation leads to the decreased utilization of lumbar spine fusion: An observational cohort pilot study. Spine. 2017; doi: 10.1097/BRS.0000000000002065.

Using Lean Process Improvement to Enhance Safety and Value in Orthopaedic Surgery: The Case of Spine Surgery.

Sethi RK, Yanamadala V, Burton DC, Bess RS. Using Lean Process Improvement to Enhance Safety and Value in Orthopaedic Surgery: The Case of Spine Surgery. J Am Acad Orthop Surg. 2017; doi: 10.5435/JAAOS-D-17-00030.

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