You 5S’d our fridge!
By now you may have heard Saskatchewan’s healthcare system is starting on an exciting Lean journey.
Its all about creating value for the customer. In healthcare, that means relooking at everything we do through the eyes of our patients. The foundation of lean is eliminating anything and everything that does not add value to the customer/patient. If any step in a process does not add value for the patient, you are creating waste.
We are in early days here, learning a completely different way to approach our work, whether it be as healthcare workers, administrators, system leaders or architects. We are also learning new words (want to poka-yoke a process, anyone?) concepts, tools, and approaches. If you walk around hospitals, clinics, and offices in Saskatchewan right now you might overhear conversations being held using this new language. Sometimes this new language makes it home.
The other day I came home from the gym and headed straight to our fridge, expecting the usual shuffling of OJ, cranberry juice, costco-sized sweet chili garlic sauce, yogurt and a collection of stacked containers of leftovers to get to the milk I was craving. I was amazed to find a clean, organized, spacious fridge. “You 5S’d our fridge!” I blurted out, before realizing the right thing to say to my husband was a HUGE thank you!
5S is a workplace organization tool that creates an efficient environment or process. Most often 5S is used to talk about transforming a cluttered workspace into a clean and organized place to work. 5S entails five disciplines all which start with S that together are used to transform a messy process or workspace into one that is streamlined.
So without knowing it (he’s a natural at this), the five steps my husband used to create the beautiful fridge you see here were:
Sort: Frequently used items (defined as at least one use every 2 days) were separated from those items used less frequently. Anything not needed was tossed.
Store: Standard locations for everything were defined with everyday staples kept in the upstairs fridge while everything else was moved to our underutilized basement fridge (which also underwent a thorough 5S).
Shine: Everything was cleaned, and all family members agreed to keep shining on a daily basis. (It is so much easier to do this when the sort and store steps have been completed for you!)
Standardize: Everyone needs to follow the new principles the same way.
Sustain: Develop a system to make sure the gains of the first four S’s aren’t lost. This is the hard part, but so far, we have sustained the gains!
5S is one of the key activities used across our province as part of Saskatchewan’s Releasing Time to Care Program that aims to improve the patient’s experience by focusing on the processes used by the care team.
These two pictures clearly demonstrate the potential gains from applying 5S to a nursing unit storage room:
So just as it is now easier and faster to find what I need in my kitchen (along with a whole host of other benefits such as inventory reduction combined with less food spoilage since we can see what we have and don’t have), nursing units across our province have reduced waste in their daily work by reorganizing their workspace and process using 5S.
What other lean principles have traveled home with you? I wonder what a sensei’s house looks like!


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