Evidence map›Paper›PMID 35131743›Full record

ArticleBMJ open quality2022

Applying Lean principles to create a high throughput mass COVID-19 vaccination site.

Meghan N Froman, Matthew P Walser, Michael Lauzardo, Mark Graban, Frederick S Southwick

Abstract read
In one paragraph

Article in BMJ open quality, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Meghan N FromanDepartment of Medicine, University of Florida College of Medicine, Gainesville, Florida, USA.
Matthew P WalserDepartment of Medicine, University of Florida College of Medicine, Gainesville, Florida, USA.
Michael LauzardoDepartment of Medicine, University of Florida College of Medicine, Gainesville, Florida, USA.
Mark GrabanLean Enterprise Institute, Boston, Massachusetts, USA.
Frederick S SouthwickDepartment of Medicine, University of Florida College of Medicine, Gainesville, Florida, USA southf@epi.ufl.edu.ORCID 0000-0003-4941-8240

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A high throughput COVID-19 vaccination site was created using Lean principles and tools. Mass-vaccination sites can achieve high output by creating a standard physical design for workspaces and standardised work protocols, and by timing each step in the vaccination process to create a value stream map that can identify and remove all wasteful steps. Reliability of the vaccination process can be assured by creating a visual checklist that monitors the individual steps as well as by building in second checks by downstream personnel. Finally, productivity can be closely monitored by recording the start and completion time for each vaccination and plotting run charts. With 78 personnel working efficiently and effectively together, a maximum throughput of 5024 injections over 10 hours was achieved. As compared with other published COVID-19 mass-vaccination sites, our site attained threefold-fourfold higher productivity. We share our approach to encourage others to reproduce our vaccination system.

Indexed as

COVID-19COVID-19 VaccinesHumansReproducibility of ResultsSARS-CoV-2VaccinationCOVID-19 Vaccinescontinuous quality improvementcontrol charts/run chartsCOVID-19lean managementvaccination

Identifiers

PMID35131743
PMCPMC8822533

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.