Lean reorganisation of the Pinerolo emergency department

On 5 November 2026 the ASL To3 (local health authority) presents the results of a reorganisation of the emergency department (A&E) at the Edoardo Agnelli hospital in Pinerolo, carried out using the Lean methodology. The initiative, which grew out of an analysis of care flows in collaboration with the company's planning office, leads to shorter waiting times for patients and becomes a case study presented at national level [1][2].

Waiting time data

Comparing 2023 and 2024, the average waiting time before being seen for patients with an orange code, indicating urgent conditions, falls from 18 to 13 minutes, a 28% reduction. For blue codes, linked to conditions that can be deferred, waiting times fall from 89 to 78 minutes, a 12% decrease [1][2].

The Lean method and new pathways

The reorganisation introduces fast-track pathways for less complex cases and strengthens cooperation between the emergency department, the Psychiatric Diagnosis and Treatment Service, social workers and the Hospital Continuity of Care Unit. A dedicated room for end-of-life care is set up, and in November 2025 the role of process nurse is introduced, dedicated to coordinating internal flows [1][2].

The presentation at CICAP Fest

The ASL To3's experience is presented on Saturday 7 November 2026 at Spazio 35 of the Centro Altinate in Padua, as part of the ninth edition of CICAP Fest. Speakers include the head of Emergency Medicine in Pinerolo, Marina Civita, the coordinator of the Emergency Department, Silvia Tedeschi, and Alessandro Faorlin of Auxiell, moderated by Enrica Favaro of Frame – Divagazioni scientifiche; the emergency department of San Daniele del Friuli also takes part in the discussion [1][2].

Statements

Marina Civita and Silvia Tedeschi stress that «improving the organisation is not a result achieved once and for all, but an ongoing process» [1]. The general director of ASL To3, Giovanni La Valle, states that «innovating in healthcare does not just mean investing in technology, but having the courage to rethink the organisation starting from people's real needs» [1].

Sources

  1. Prima Torino — 5 November 2026
  2. Quotidiano Piemontese — 4 November 2026

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