“Muda”  (無駄): Japanese for waste. We have all experienced this. A patient comes into the ED who is identified as a priority (VIP) either because of acuity or perceived status.  In no time they are in, everything gets done and they are out the door. What happened? Did the analyzers in the labs suddenly work faster or CT images download at faster than light speed?  Of course not. What did happen is that much of the (normally) wasted (on waiting) patient time was eliminated. Think about some of the common examples. The STEMI patient who gets out of the cath lab in minutes; the complex trauma who gets examined, labs drawn, radiology studies and is off to the OR shortly after arrival. What would happen if…