The first steps of a Paris hospital towards lean healthcare


NOTES FROM THE GEMBA – On this gemba walk in the cardiology department of a Parisian hospital, the author discovers how the team is changing its internal dynamics and processes to make lean their way of thinking.

As I stepped into the Hôpital Lariboisière with Benjamin Garel, Lean Healthcare Director at Assistance Publique – Hôpitaux de Paris (a system of 39 university hospitals in the Ile de France region, caring for eight million people a year and employing 100,000), we were met by a smiling lady who insisted that we try and spot some of the 14 “safety mistakes” she had arranged in a room with a dummy patient, a tray of food, the patient’s file and medication.

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