List of encountered wastes
| Waste | Description/Effects |
|---|---|
| Missing pathways indications | Patients get lost inside the hospital |
| Wrong data entered in the hospital database | The timing of visits and exams are not accurate |
| Missing data in the hospital database | Data on patients, services provided and timings are often missing: physicians often skip the data entry activity |
| The same visit/exam has different denominations in the hospital database | There is no standardisation among different hospital departments: every department registers the required information using the preferred denomination |
| Waste of time looking for information in paper sheets | Given the lack of digitalisation, doctors and nurses register most of the information on paper sheets |
| Waste of time searching for patient information in the hospital software | Software interfaces are not user-friendly: physicians and nurses have to take several steps to grasp the needed information |
| Waste of time searching for patient information in the medical record | The medical record has the format of a free text, so grasping specific information is very difficult |
| Waste of movements between hospital and outpatient clinics | Mammography and biopsy are performed in the hospital: patients who undergo a breast specialist visit in outpatient clinics then have to move to the hospital to proceed with the care pathway |
| Lack of ultrasound scanner | Breast specialists do not have ultrasound scanners |
| Radiologic technologist’s waste of time | While doctors perform X-ray exams, radiologists wait next to them without doing anything |
| Lack of standardisation of medical report | Radiology medical reports are not regulated in a standardised format, complicating the assessment of breast specialists and oncologists |
| Lack of prioritisation and logic in MRI scans reporting | The MRI scan arrives in the reading room randomly, so the reporting timings is very variable |
| Equipment and materials located in the wrong room | The equipment needed in the mammography room is located in the warehouse; the material needed for the MRI scan is located in the mammography room |
| Mammography room overcrowding | Too many radiologists stay simultaneously in the mammography room |
| Waste of time | If a visit finishes before the time slot dedicated to those patients, doctors have to wait before calling the next patient |
| Waste | Description/Effects |
|---|---|
| Missing pathways indications | Patients get lost inside the hospital |
| Wrong data entered in the hospital database | The timing of visits and exams are not accurate |
| Missing data in the hospital database | Data on patients, services provided and timings are often missing: physicians often skip the data entry activity |
| The same visit/exam has different denominations in the hospital database | There is no standardisation among different hospital departments: every department registers the required information using the preferred denomination |
| Waste of time looking for information in paper sheets | Given the lack of digitalisation, doctors and nurses register most of the information on paper sheets |
| Waste of time searching for patient information in the hospital software | Software interfaces are not user-friendly: physicians and nurses have to take several steps to grasp the needed information |
| Waste of time searching for patient information in the medical record | The medical record has the format of a free text, so grasping specific information is very difficult |
| Waste of movements between hospital and outpatient clinics | Mammography and biopsy are performed in the hospital: patients who undergo a breast specialist visit in outpatient clinics then have to move to the hospital to proceed with the care pathway |
| Lack of ultrasound scanner | Breast specialists do not have ultrasound scanners |
| Radiologic technologist’s waste of time | While doctors perform X-ray exams, radiologists wait next to them without doing anything |
| Lack of standardisation of medical report | Radiology medical reports are not regulated in a standardised format, complicating the assessment of breast specialists and oncologists |
| Lack of prioritisation and logic in MRI scans reporting | The MRI scan arrives in the reading room randomly, so the reporting timings is very variable |
| Equipment and materials located in the wrong room | The equipment needed in the mammography room is located in the warehouse; the material needed for the MRI scan is located in the mammography room |
| Mammography room overcrowding | Too many radiologists stay simultaneously in the mammography room |
| Waste of time | If a visit finishes before the time slot dedicated to those patients, doctors have to wait before calling the next patient |
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