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EDUCATION
Transforming Supply Room Efficiency in Labor and Delivery

By Tonya Vaught, BSN, RNC-OB, RN IV, Labor & Delivery Charge RN, Houston Methodist West Hospital

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The growth of the Childbirth Center at Houston Methodist West Hospital created new opportunities for patient care, but also operational challenges. As the department expanded, supplies were distributed across 11 supply areas, resulting in increased staff movement and time spent locating items. These delays affected workflow and staff satisfaction.
To address these issues, the team employed Lean Fundamentals and A3 problem-solving, focusing on the 5S methodology — a structured approach to organizing workspaces through the steps of Sort, Set in Order, Shine, Standardize and Sustain. In health care, 5S helps prevent problems and creates an environment where staff can deliver care efficiently. As Yaglowski (2024) notes, when staff have the necessary resources at hand, they can provide consistent, safe care without delays or errors.
Design and Implementation
A multidisciplinary team assessed the current state of supply rooms. Using spaghetti diagrams, they mapped staff movement to identify inefficiencies in the layout. Cycle time measurements tracked how long it took to gather frequently used supplies, while staff surveys and supply request lists captured pain points and improvement ideas.
Using these insights, the team implemented a full 5S process across all 11 supply areas. They removed unnecessary or duplicate items, reorganized supplies for quick access, and standardized labeling and storage layouts. Visual cues and defined zones ensured order and reduced variation among rooms. After reorganization, the team reapplied Lean evaluation tools to measure and confirm improvements.
Results
The project delivered significant improvements in efficiency and staff satisfaction:
  • IV supply retrieval time dropped from 148 seconds to 43 seconds — a 70% reduction.
  • Staff movement decreased by half — from 280 feet to 136 feet per task.
  • Staff satisfaction with supply room organization rose from 52% to 81%.
Additionally, one supply room was repurposed into a much-needed storage area, optimizing space use.
Conclusion
By applying Lean and 5S principles, the Childbirth Center achieved measurable gains in workflow efficiency, space utilization and staff satisfaction. Reducing waste outside patient care areas allowed nurses to spend more time at the bedside, improving patient care.
This initiative demonstrates how Lean methods can create sustainable and efficient systems that support frontline staff and enhance the quality of care. Reliable access to supplies is not only convenient but also crucial for achieving operational excellence and ensuring patient safety.
References:
Frazier, M., Webster, K., Dewan, M., Hutson, T., Collins, K., Fettig, T., Grooms, T., Cordray, M., & Tegtmeyer, K. (2023). Improving usability of the pediatric code cart by combining Lean and human factors principles. Pediatric Quality and Safety, 8(4), e676. https://doi.org/10.1097/pq9.0000000000000676
Harolds, J. (2023). Quality and safety in healthcare, part XCI. Clinical Nuclear Medicine, 48(8), e410–e412. https://doi.org/10.1097/RLU.0000000000003919
Mann, D. (2023). The missing link: Lean leadership. Frontiers of Health Services Management, 40(2), 28–37. https://doi.org/10.1097/HAP.0000000000000181
Philipose, J., LaMaina, L., Zapke, J., Sargeant, D., Boukas, C., & Bullaro, F. (2022). Trauma resuscitation room organization using 5S methodology: A quality improvement initiative. Journal of Trauma Nursing, 29(5), 272–277. https://doi.org/10.1097/JTN.0000000000000676
Steere, L. (2022). [Title unavailable]. Clinical Nurse Specialist, 36(2), 92–98. https://doi.org/10.1097/NUR.0000000000000655
Yaglowski, J. (2024). Implementing the Lean 5S process improvement to boost efficiency and cost savings in hospital supply rooms. Nursing, 54(5), 56–61. https://doi.org/10.1097/01.NURSE.0001007648.07632.3b