Central Sterile, Clinical Resource Management (CRM), Cost Management, Lean/Six Sigma, Reprocessing Medical Devices, Strategic Planning Improving & Managing the Sterilization Process Through the Use of Surgical Instrument Management Software & Lean Jan 18, 2016 By Jan Jarvinen The surgical instrument management software (SIM) implementation began in October of 2003 and a Lean initiative to redesign processes began in October 2005. Implementation of all the initial recommendations was not complete until June of 2006.
