Abstract
Background: The acute surgical assessment unit (ASAU) in University Hospital Limerick (UHL) has provided a solution to overcrowding and long waiting times since centralization of emergency services to UHL. Recognizing the importance of its evolving role, the ASAU in UHL has recently undergone a major revamp to ease the pressure in the overcrowded emergency department (ED). This included a new purpose built state of art building and equipment, improved staffing levels and use of a Kaizen Lean system to identify key area of delays and inefficiency with subsequent implementation of suggestions derived after Kaizen Lean. The aim of this study was to analyse patient satisfaction response rates with the ASAU prior to and following Kaizen Lean implementation and change to a new custom made building.
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