Increasing cardio-thoracic productivity at Erasmus MC

Maartje Zonderland, Jos Bekkers, Jasper van Bommel, Maarten ter Horst, Wouter van Leeuwen, Femke van den Wall Bake, Willem Wiegersma, Ad Bogers

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The Thoraxcenter of Erasmus MC started an improvement project in 2015 in order to increasethe number of open-heart surgeries by 150 for three consecutive years (450 in total, +46%), and to decrease the access time from 12–14 to 2–3 weeks by the end of 2016. This was required to attain economy of scale in a highly competitive market. In this paper we describe the first year of the project, focusing on its structure and interventions taken, resulting in 165 additional open-heart surgeries carried out in 2016 and a significantly shorter access time of 2–3 weeks.
Original languageEnglish
Pages (from-to)68-74
Number of pages7
JournalHealth systems
Issue number1
Early online date26 Nov 2020
Publication statusPublished - 2 Jan 2022


  • Cardio-thoracic surgery
  • Operating rooms
  • Planning & scheduling
  • Process improvement

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