Use of Lean methodologies is increasing in healthcare,
yet few studies have explored in detail the concepts
behind Lean and their impact on clinical care. The
following reports the outcomes related to the implementation
of the SOS in the ED and the 2-year outcomes
reported on throughput metrics and patient
satisfaction. We believe this will serve as a useful
model for other healthcare organizations addressing
ED crowding or seeking to adapt Lean principles in
their organization.