{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T07:10:52Z","timestamp":1788851452749,"version":"build-2803163510"},"reference-count":0,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>SUMMARY<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Goal:<\/jats:title>\n                    <jats:p>This research provides a framework for developing, adapting, and implementing an innovative, system-wide Gemba Board program in a multidisciplinary hospital setting to improve quality and patient safety through high-reliability concepts and continuous process-improvement tools, such as Lean methodologies and Six Sigma for quality improvement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The Harry S. Truman Memorial Veterans\u2019 Hospital (Truman) piloted a two-phased Gemba Boards deployment model. Methods were developed for staff engagement and contribution to a culture of improvement using metrics like engagement levels, return on investment (ROI), and comprehension evaluations of high-reliability principles. The first phase involved establishing Gemba Boards in all departments, while the second phase focused on sustained evaluation and refinement of the system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Principal Findings:<\/jats:title>\n                    <jats:p>Gemba Boards, deployed in 69 departments at Truman, yielded more than 3,000 improvement ideas and a documented ROI of $2.85 million over 5 years. The implementation led to significant qualitative and quantitative impacts on clinical, operational, and administrative services, enhancing collaboration and psychological safety among staff.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Practical Applications:<\/jats:title>\n                    <jats:p>This study demonstrates that widespread adoption of a Gemba Board framework leads to higher levels of quality, patient safety, and efficiency. It provides a practical, replicable framework that other healthcare systems can adopt. Future studies should analyze trends and outcomes to inform decision-making in diverse healthcare settings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/jhm-d-24-00237","type":"journal-article","created":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T07:00:23Z","timestamp":1788850823000},"page":"347-359","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Developing and Sustaining a Gemba Board Deployment Framework in a Multidisciplinary Hospital Setting: A 5-Year Review at Truman VA Medical Center"],"prefix":"10.1097","volume":"71","author":[{"given":"John","family":"Tucker","sequence":"first","affiliation":[{"name":"Department of Veterans Affairs, Harry S. Truman Memorial Veterans\u2019 Hospital, Columbia, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James","family":"Noble","sequence":"additional","affiliation":[{"name":"Department of Industrial and Systems Engineering, University of Missouri, Columbia, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Anderson","sequence":"additional","affiliation":[{"name":"(Retired) Department of Veterans Affairs, Harry S. Truman Memorial Veterans\u2019 Hospital, Columbia, Missouri"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","container-title":["Journal of Healthcare Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.1097\/JHM-D-24-00237","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T07:00:24Z","timestamp":1788850824000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1097\/JHM-D-24-00237"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":0,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.1097\/jhm-d-24-00237","relation":{},"ISSN":["1096-9012","1944-7396"],"issn-type":[{"value":"1096-9012","type":"print"},{"value":"1944-7396","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]}}}