Lean techniques to improve flow of critically ill patients in a health region with its epicenter in the intensive care unit of a reference hospital

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Técnicas «Lean» para la mejora del flujo de los pacientes críticos de una región sanitaria con epicentro en el servicio de medicina intensiva de un hospital de referencia

J.M. Sirventa,

Corresponding author

jsirvent.girona.ics@gencat.cat

Corresponding author.

, M. Gilb, T. Alvareza, S. Martina, N. Vilaa, M. Colomera, E. Marchc, P. Loma-Osoriod, T. Metjee

a Servicio de Medicina Intensiva (UCI), Hospital Universitari de Girona Doctor Josep Trueta, Grupo de Microbiología e Infección, IDIBGI, CIBERES, Girona, Spain

b Actio-Consulting, Barcelona, Spain

c Secretaría Técnica, Hospital Universitari de Girona Doctor Josep Trueta, Girona, Spain

d Servicio de Cardiología, Hospital Universitari de Girona Doctor Josep Trueta, Girona, Spain

e Servicio de Anestesiología, Hospital Universitari de Girona Doctor Josep Trueta, Girona, Spain

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ISSN: 21735727
Original language: English

DOI:10.1016/j.medine.2015.08.007

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2025 6	3	2	5
2025 5	142	38	180
2025 4	107	46	153
2025 3	100	44	144
2025 2	70	42	112
2025 1	69	41	110
2024 12	57	54	111
2024 11	73	63	136
2024 10	82	52	134
2024 9	75	43	118
2024 8	114	53	167
2024 7	136	48	184
2024 6	114	68	182
2024 5	81	36	117
2024 4	72	38	110
2024 3	69	38	107
2024 2	80	50	130
2024 1	100	35	135
2023 12	62	47	109
2023 11	88	55	143
2023 10	78	64	142
2023 9	75	48	123
2023 8	73	30	103
2023 7	77	26	103
2023 6	82	29	111
2023 5	102	37	139
2023 4	78	47	125
2023 3	128	52	180
2023 2	97	51	148
2023 1	104	28	132
2022 12	111	50	161
2022 11	123	42	165
2022 10	81	42	123
2022 9	68	43	111
2022 8	82	45	127
2022 7	64	40	104
2022 6	89	34	123
2022 5	85	51	136
2022 4	83	38	121
2022 3	83	63	146
2022 2	71	43	114
2022 1	90	41	131
2021 12	117	52	169
2021 11	102	57	159
2021 10	97	79	176
2021 9	66	48	114
2021 8	58	46	104
2021 7	39	42	81
2021 6	45	44	89
2021 5	100	69	169
2021 4	736	97	833
2021 3	110	41	151
2021 2	108	37	145
2021 1	95	32	127
2020 12	63	24	87
2020 11	65	29	94
2020 10	76	32	108
2020 9	55	16	71
2020 8	62	23	85
2020 7	75	27	102
2020 6	94	19	113
2020 5	61	27	88
2020 4	52	27	79
2020 3	49	17	66
2020 2	109	35	144
2020 1	81	30	111
2019 12	70	22	92
2019 11	89	43	132
2019 10	61	27	88
2019 9	59	36	95
2019 8	66	31	97
2019 7	61	20	81
2019 6	53	23	76
2019 5	75	35	110
2019 4	52	26	78
2019 3	73	36	109
2019 2	67	43	110
2019 1	72	40	112
2018 12	113	43	156
2018 11	193	168	361
2018 10	100	44	144
2018 9	49	17	66
2018 8	51	13	64
2018 7	33	10	43
2018 6	43	12	55
2018 5	29	8	37
2018 4	29	17	46
2018 3	46	9	55
2018 2	43	7	50
2018 1	48	12	60
2017 12	35	12	47
2017 11	32	11	43
2017 10	50	8	58
2017 9	24	11	35
2017 8	31	14	45
2017 7	31	9	40
2017 6	41	12	53
2017 5	42	14	56
2017 4	40	12	52
2017 3	24	12	36
2017 2	18	16	34
2017 1	20	7	27
2016 12	18	11	29
2016 11	31	24	55
2016 10	48	0	48
2016 9	40	1	41
2016 8	1	0	1

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