Ohio Health reduces surgical site infections using LEAN.
For their 3-day improvement event, they created a current state value stream map from decision to do the surgery through discharge.
One thing they observed was the lack of standardized work for things such as:
There was great variation in the work, including 14 different pre-printed order sets for the same type of procedure.
The surgeons and and anesthesiologists agreed on the right / best way to do things, including whether to use clippers or razors for hair removal as well as how and when to clean the patient before surgery. The process of creating standard order sets "took weeks” as the group talked through the alternatives and gained consensus.