Decreasing the Preincision Time for Pulmonary Lobectomy: The Process of Lean and Value Stream Mapping Robert James Cerfolio, MD, MBA, Brad L. Steenwyk,

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Presentation transcript:

Decreasing the Preincision Time for Pulmonary Lobectomy: The Process of Lean and Value Stream Mapping Robert James Cerfolio, MD, MBA, Brad L. Steenwyk, MD, Caroline Watson, BS, James Sparrow, MD, Victoria Belopolsky, MD, Matthew Townsley, MD, Ralph Lyerly, MD, Michelle Downing, MD, Ayesha Bryant, MD, William Quinton Gurley, MD, Colleen Henling, MD, Jack Crawford, MD, Thomas E. Gayeski, MD The Annals of Thoracic Surgery Volume 101, Issue 3, Pages 1110-1115 (March 2016) DOI: 10.1016/j.athoracsur.2015.09.004 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Intraoperative photograph with a posterior view of a patient positioned in lateral decubitus without the use of an arm board, a beanbag, or an axillary roll. The Annals of Thoracic Surgery 2016 101, 1110-1115DOI: (10.1016/j.athoracsur.2015.09.004) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Intraoperative photograph with an anterior view of a patient positioned in lateral decubitus without the use of an arm board, a beanbag, or an axillary roll. The Annals of Thoracic Surgery 2016 101, 1110-1115DOI: (10.1016/j.athoracsur.2015.09.004) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Risk-adjusted morbidity (all morbidity [blue line] and major morbidity [red line]) associated with pulmonary resection by the seven consecutive cohorts. The Annals of Thoracic Surgery 2016 101, 1110-1115DOI: (10.1016/j.athoracsur.2015.09.004) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Risk-adjusted operative mortality (status at 30 days) associated with pulmonary resection. The Annals of Thoracic Surgery 2016 101, 1110-1115DOI: (10.1016/j.athoracsur.2015.09.004) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions