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, Sian Kneafsey,
St James's Hospital, Dublin