PReS-FINAL-2023: Uveitis surveillance through lean-six sigma for quality assurance in juvenile idiopathic arthritis

Introduction Chronic asymptomatic iridocyclitis occurs in 10-20% of all patients with JIA leading to insidious but progressive morbidity and possible blindness. Patients with JIA-associated uveitis need to be seen by an ophthalmologist regularly. Lean thinking is based upon the following principles 1) Identifying the customer value (value adding steps) and alleviating the redundant parts of the process hence minimize waste 2) developing an effective flow production 3) eliminate backflows 4)using “pull” techniques 5) striving to perfection.