James O'Riordan

Small changes, big impact: transforming an MSK injection service through Lean workflow redesign

This article describes how a radiology-led team at St James’s Hospital successfully transformed a severely constrained MSK corticosteroid injection service using Lean quality improvement principles. By early 2025, rising demand, fixed staffing and inefficient legacy workflows had led to a 25-month waiting time and a backlog of nearly 900 patients, with clear negative consequences for […]

James O'Riordan and Sian Kneafsey

James O’Riordan, Sian Kneafsey,

St James's Hospital, Dublin

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