Sign Up

Lean thinking in New Zealand emergency departments

NZ Literature Abstract

posted by Research Admin on 30 June 2011


Gareth H. Rees

Year of Publication



Master of Commerce thesis, University of Otago

Publication Type


Publication Status



This thesis explores the implementation of lean thinking in New Zealand hospital emergency departments (EDs). The research adopts a multiple site design using case studies as the primary research method. Three sites from three different District Health Boards (DHBs) were studied. The research concludes that organisations that had an existing continuous quality culture or strategy were able to integrate Lean and achieve inter-department admission initiatives. These hospitals were somewhat more prepared for change and already had structures or processes in place that facilitated the Lean implementation. The thesis offers a range of indicators developed from the best practice exemplars and used for the data analysis, which could be employed by organisations to ascertain their readiness for a system implementation of Lean Thinking within a healthcare environment.

Type of Study

Case studies

How to Access

Available online at: