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Improving Medication Administration Safety in a Community Hospital Setting Using Lean Methodology

Critchley, Sandy MHS, BScPT, RPT, HBA (Kin)

doi: 10.1097/NCQ.0000000000000112

Virtually all health care organizations have goals of improving patient safety, but despite clear goals and considerable investments, gains have been limited. This article explores a community hospital's resounding success using Lean methodology to improve medication administration safety with process changes designed by engaged employees and leaders with the knowledge and skill to effect improvements. This article inspires an interdisciplinary approach to quality improvement using reproducible strategies.

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Quality, Practice and Patient Services, Headwaters Health Care Centre, Orangeville, Ontario, Canada.

Correspondence: Sandy Critchley, MHS, BScPT, RPT, HBA (Kin), Quality, Practice and Patient Services, Headwaters Health Care Centre, 100 Rolling Hills Dr, Orangeville, ON L9W 4X9, Canada (

A portion of the work described in this article was supported by a nursing education grant from RBC Royal Bank of Canada.

The author declares no conflict of interest.

Supplemental digital content is available for this article. Direct URL citation appears in the printed text and is provided in the HTML and PDF versions of this article on the journal's Web site (

Accepted for publication: December 7, 2014

Published ahead of print: January 16, 2015

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