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Makigami for treatment of 'lumbosacral radicular syndrome (LRS)' |
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Neurosurgical Science centre Tilburg (St Elisabeth Hospital)
Treatment of lumbosacral radicular syndrome (LRS, 'Hernia') from an average 107 days to 14 days!
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Two multi disciplinary teams of each 6 people went December 11 and 12, 2006 through a Makigami analysis of the treatment of 'a hernia'. The process starts with the visit at a neurologist and ends when the patient is correctly being treated. Both teams came up with more than 10 meters of analysis éach! Although involved in the process at a daily basis, they where flabbergasted about the complexity of such a 'regular, standard treatment'. On average a patient is 'on the way' for 107 days, with fluctuations between 37 and 270 days.
In the teams participated:
- hospital manager,
- manager neurosurgery,
- floor manager,
- nurses,
- secretaries,
- department assistants,
- and neurosurgeons.
None of them had knowledge of the whole process, most where even not aware of parts of the process.
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It took the teams about 1,5 days to fully understand and describe the current process. During this phase many ideas where raised and discussed. Valuable issues where parked for further investigation. Sharing different perspectives is a crucial goal in this 'exercise'. Many ideas for the future state of the process are born in this phase.
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At the end of the second day, both teams presented the results at each other and invited guests. They all firmly believed it should be possible to go through the whole process in between 4 to 14 days, depending the route it would take.
The future state of the process could be described at 1,5 Makigami sheets, compared to 9 sheets in the current situation. Lots of complexity is eliminated!
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Makigami in Hospital 
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