You Don't Need More People |
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Jay Arthur
Copyright © 2011
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About once a quarter I get data from someone who is trying to prove that they need more people to do the job. This month it was a hospital trying to prove that more nurses result in better care. Intensive care units usually have one nurse for every two patients. Medical nursing units may have one nurse for every four, five or six patients. Here's the facts: I've looked at lots of data from lots of hospitals. No matter how I look at it, unless the unit is woefully understaffed, there's no correlation between the number of patients per nurse and patient outcomes. What really matters is how the unit is laid out and how much each nurse commutes every day. Commute time reduces patient care time. Lean Principle: Walking is Waste! When my mom was in the hospital recently, I noticed that nurses often came in to do something and then had to go back to the nurses' station to get something they needed. Why weren't the supplies in the room? Some were, but often they hadn't been replenished. Why not? Lean Principle: Unnecessary movement of people or materials is waste! You don't need more people, you need better systems and layouts. Repair is Waste!
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