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Process analysis by value stream management after trauma

Felix Robert Hoffmann, Johannes Marder, Lijo Mannil, Maurice Balke


Objective: This study aimed to clarify if value stream management is a suitable method to report and optimize medical treatment processes.

Method: The treatment process of a patient after trauma was retrospectively evaluated based on the institution-spanning patient record. Objective data from the treatment process were collected, abnormalities were detected and rated based on the prior findings.

Results: The treatment process includes abnormalities, which could cause serious risks. Repeated incorrect information within the treatment reports might have led to delays in the healing process.

Conclusions: Improved data management and improved networking of service providers could result in process improvement and a greater level of person-centered healthcare.


Electronic patient records, error detection, Lean Hospital, Lean Management, medical error, person-centered healthcare, process analysis, rehabilitation, trauma care, value stream management

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Osterloh, F. (2016). Ärztemangel, Kostendruck und Arbeitsverdichtung: Gesundheitsreport. Deutsches Ärzteblatt 113 (40) A1748.

Womack, J.P., Jones, D.T. & Roos, D. (2007). The machine that changed the world: The story of lean production - Toyota's secret weapon in the global car wars that is revolutionizing world industry. Toronto: Free Press.

Ohno T. (2013). Das Toyota-Produktionssystem. 3rd edn. Frankfurt & New York: Campus-Verl.

Hoffmann, F.R. (2015). Wertstrommanagement im Krankenhaus: Konzept für die Durchführung von Wertstrommanagement-Projekten in Krankenhäusern. 1st edn.

Schmidmaier, G. & Moghaddam, A. (2015). Pseudarthrosen langer Röhrenknochen. Zeitschrift für Orthopädie und Unfallchirurgie 153 (6) 659-676.

Steinhausen, E., Glombitza, M., Böhm, H-J., Hax, P-M. & Rixen, D. (2013). Pseudarthrosen. Von der Diagnose bis zur Ausheilung. Unfallchirurg 116 (7) 633-647.

Hempel, S., Maggard-Gibbons, M., Nguyen, D.K., Dawes, A.J., Miake-Lye, I., Beroes, J.M., Booth, M.J., Miles, J.N,, Shanman, R. & Shekelle, P.G. (2015). Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires: A Systematic Review of Surgical Never Events. JAMA Surgery 150 (8) 796-805.

Hickey, E., Pham-Hung, E., Nosikova, Y., Halvorsen, F., Gritti, M., Schwartz, S., Caldarone, C.A. & Van Arsdell, G. (2017). NASA Model of "Threat and Error" in Pediatric Cardiac Surgery: Patterns of Error Chains. Annals of Thoracic Surgery 103 (4) 1300-1307.



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