Date of Award

January 2015

Document Type

Open Access Thesis

Degree Name

Doctor of Nursing Practice (DNP)


Yale University School of Nursing

First Advisor

Judith R. Kunisch


Process impediments and patient flow interruptions in the preoperative setting affect patient care quality and increase organizational costs through inefficient use of operating room time. Lean methodology was successfully applied to improve efficiencies, patient privacy, and quality of care in a hospital-based high-volume adult ambulatory surgery unit. Process improvement strategies were identified and carried out during a rapid process improvement workshop (RPIW), and significant process changes were made to the preoperative work areas.


This is an Open Access Thesis.

Open Access

This Article is Open Access