Table of Contents
Conference Papers in Medicine
Volume 2013, Article ID 143985, 6 pages
Conference Paper

POCT in Emergency Rooms: One Key Factor for Process Streamlining with Lean Management

1Paul Gerhardt Stift Hospital, 06886 Lutherstadt Wittenberg, Germany
2Department of Cardiology Campus Virchow Klinikum (CVK) and Division of Emergency Medicine CVK and Charité Campus Mitte (CCM), Charité University Medicine Berlin, 13353 Berlin, Germany

Received 16 January 2013; Accepted 2 April 2013

Academic Editors: A. Bellou, E. Giannitsis, and C. Hamm

This Conference Paper is based on a presentation given by Verena Lindenau-Stockfisch at “Clinical Decisions in Acute Patients: ACS–POCT–Hypertension and Biomarkers” held from 19 October 2012 to 20 October 2012 in Berlin, Germany.

Copyright © 2013 Verena Lindenau-Stockfisch et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Overcrowding is a common problem in Emergency Departments (ED) worldwide and has a negative impact on patient satisfaction and, more importantly, patient safety. So, the Emergency Department of the secondary-care hospital Paul Gerhardt Stift in Wittenberg, Germany, was faced with increasing numbers of patients. Lean management was introduced to analyse, optimise, and standardise ED processes. Consequently, a project group concentrated on “cycling muda” which is to identify waste and cost drivers along a representative patient path using one suitable Lean tool: mapping the current state in a value stream. As a result, it became clear that both patients and staff suffered from immense waiting times that lead to risky patient care and employee frustration. By subsequently eliminating the waste drivers and designing a high-quality patient flow process creating standards supported by state-of-the-art technology, the hospital’s ED turned into a streamlined department with reduced waiting times offering employees a satisfactory and modern workplace where patients benefit from first-class care.