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They reveal inefficient areas and long travel links between key steps, supporting redesign to reduce unnecessary movement and save time. By reviewing current maps and redrawing to bring points closer together, teams can improve flow and redirect saved time toward value-adding patient care.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/spaghetti-diagram-lean-process-improvement/657247/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/spaghetti-diagram-lean-process-improvement/657247.png","ImageObject",300,407,{"name":92,"@type":93},"hdkawk","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-10-26",true,{"@type":102,"interactionType":103,"userInteractionCount":8},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is a spaghetti diagram used for?","Question",{"text":112,"@type":113},"It helps establish the optimum layout by mapping distances travelled during a process, exposing inefficient layouts and excessive travel between key steps.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"When should you use a spaghetti diagram?",{"text":117,"@type":113},"Use it when you want to assess time wasted through unnecessary movement across a ward, clinic, department, or whole hospital, and identify opportunities to improve layout.",{"name":119,"@type":110,"acceptedAnswer":120},"How do you create and analyse the diagram?",{"text":121,"@type":113},"Decide what to observe (product, staff, or patient flow), involve team representatives, and draw the movement lines on a floor plan. Analyse the lines to identify unnecessary movement, then redesign the process and redraw the map to reflect the desired flow.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},657247,1792976278,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":8,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":129,"read_time":52},3985747859855,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Online library of Quality, Service Improvement and Redesign tools  \nSpaghetti diagram  \nNHS England and NHS Improvement  \nSpaghetti diagram  \nWhat is it?  \nThe spaghetti diagram is a tool to help you establish the optimum layout for a department or ward based on observations of the distances travelled by patients, staff or products, eg x-rays. Spaghetti diagrams expose inefﬁcient layouts and identify large distances travelled between key steps.  \nThe spaghetti diagram is a simple mapping tool for Lean process improvement. The tool helps you identify areas where time can be saved by visualising unnecessary movement of products, staff or patients and it gives you a visual overview of the geography of the process. The time saved can be used more productively to add value to patient care.  \nWhen to use it  \nThe spaghetti diagram is useful when you want to assess time wasted through unnecessary movement through a ward, clinic, department or whole hospital.  \nBy reviewing the ‘current’ spaghetti map, you can see where there is potential to make processes more efﬁcient and improve layouts to reduce distances travelled.  \nHow to use it  \n1. Decide what you are going to observe – eg product, staff or patient ﬂow. You may decide to analyse a number of these simultaneously by using different coloured lines to represent each ﬂow.  \n2. Involve representatives from your team in the process of drawing the spaghetti diagram. Explain what is being done and what the potential beneﬁts may be for both the team ( minim ising waste of effort) and patients (improved experience) .  \n3. Ask estates for a diagram (or draw your own) of the ﬂoor plan of the area you are working with. Draw lines on it to show the ﬂow of movement as it is now, eg a patient attending a diabetic review, or a nurse on a ward changing a patient’s catheter.  \n4. By analysing the lines, you can identify any areas with unnecessary movement.  \n5. Next, assess your diagram to help you redesign the process. Can you bring two points closer together to optimise the ﬂow? This can act as a starting point for redrawing anew spaghetti diagram to reﬂect the desired ﬂow.  \nQuality, Service Improvement and Redesign Tools: Spaghetti diagram  \nTIPS  \nWhen completing the spaghetti map:  \n• Note the time, date and process being evaluated, but not the name of individuals  \n• Explain to the team what’s being done and ask for a volunteer  \n• Trace the actual steps taken  \n• Note any stops with sequential numbers and mark the time for each stop  \n• Note any awkward elements in the line taken  \n• Mark any inherent interruptions in the path – such as a surgeon ‘gowning up’in theatre  \n• Note why certain trips are made, eg getting necessary supplies or signatures  \n• Ask questions and seek suggestions from the team – the best ideas often come from those who live the process.  \nExamples  \nThe spaghetti diagram tool was successfully used to help redesign the pathology department at Hereford Hospital. The diagram below shows movement of staff in the department, helping to visualise waste in movement. The red dots represent the main positions of the staff. Red lines show wasted movement.  \nFigure 1 : Spaghetti diagram showing movement of staff  \nQuality, Service Improvement and Redesign Tools: Spaghetti diagram  \nWhat next?  \nSpaghetti diagrams are best used in conjunction with other tools and techniques that help build a visual picture of the workings of a department, eg process mapping or value stream mapping.  \nAdditional resources  \nBicheno, J (2014) The New Lean Tool Box, PICSIE Books: Buckingham George, M et al (2005) The Lean Six Sigma Pocket Toolbook, McGraw Hill  \nLiker, J (2004) The Toyota Way Fieldbook: A Practical Guide for Implementing Toyota ’s 4Ps, McGraw-Hill  \nQuality, Service Improvement and Redesign Tools: Spaghetti diagram","cbCaisRYkEcIATgv","https://ap.wps.com/l/cbCaisRYkEcIATgv","pdf",49324,"English","# What is it?\n## When to use it\n## How to use it\n## TIPS\n## Examples\n## What next?\n## Additional resources","[{\"question\":\"What is a spaghetti diagram used for?\",\"answer\":\"It helps establish the optimum layout by mapping distances travelled during a process, exposing inefficient layouts and excessive travel between key steps.\"},{\"question\":\"When should you use a spaghetti diagram?\",\"answer\":\"Use it when you want to assess time wasted through unnecessary movement across a ward, clinic, department, or whole hospital, and identify opportunities to improve layout.\"},{\"question\":\"How do you create and analyse the diagram?\",\"answer\":\"Decide what to observe (product, staff, or patient flow), involve team representatives, and draw the movement lines on a floor plan. Analyse the lines to identify unnecessary movement, then redesign the process and redraw the map to reflect the desired flow.\"}]","Spaghetti diagram - Lean process improvement | PDF"]