A critical analysis of Lean approach structuring in hospitals

Curatolo, Niccolò; Lamouri, Samir; Huet, Jean-Charles; Rieutord, André

doi:10.1108/bpmj-04-2013-0051

Cited by 51 publications

(86 citation statements)

References 52 publications

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“…As Radnor (2010) showed, 51% of process improvement methodologies used in service sectors focuses on Lean and 35% on health services. The implementation of Lean is favoured by healthcare managers worldwide as it potentially combines cost reduction with an outstanding standard of healthcare to the patient (Matthias and Brown, 2016), is easy to understand and straightforward to use by healthcare staff (Curatolo et al, 2014).…”

Section: Literature Review Of Lss In Reducing Medication Errorsmentioning

confidence: 99%

An exploratory study into the use of Lean Six Sigma to reduce medication errors in the Norwegian public healthcare context

Antony

Forthun

Trakulsunti

et al. 2019

LHS

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Purpose: Medication errors are a significant cause of injury in Norwegian hospitals.The purpose of this study is to explore how Lean Six Sigma has been utilised in the Norwegian public healthcare context to reduce medication errors.Design/Methodology/Approach: A mixed method approach was used to gather data from participants working in the four regions served by the Norway Health Authorities. A survey questionnaire was distributed to 38 healthcare practitioners and semi-structured interviews were conducted with 12 healthcare practitioners. Findings:The study finds that the implementation of Lean Six Sigma in the Norwegian public healthcare context is still in its infancy. This is amidst the several challenges faced by Norwegian hospitals, such as a lack of top management support, lack of LSS training and coaching and a lack of awareness around the benefits of LSS in healthcare.Research limitations/Implications: Due to the large geographical area, it was difficult to reach participants from all health regions in Norway. However, the study managed to assess the current status of LSS implementation through the participants' perspectives. This is a fruitful area for future research whereby an action research methodology could be employed.Originality/Value: To the best of the authors' knowledge, this is the first empirical study into the use of LSS methodology in reducing medication errors. In addition, this study is valuable for healthcare practitioners and professionals as a guideline to achieve the optimal benefit of Lean and Six Sigma implementation in order to reduce medication errors.

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Section: Literature Review Of Lss In Reducing Medication Errorsmentioning

confidence: 99%

An exploratory study into the use of Lean Six Sigma to reduce medication errors in the Norwegian public healthcare context

Antony

Forthun

Trakulsunti

et al. 2019

LHS

View full text Add to dashboard Cite

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“…These examples did not have an impact similar to manufacturing and only recently has there been a sharp rise in academic and practitioner-oriented research on lean in the hospital sector. But the scattered picture and short life span of lean in hospitals are also hampering research (Andersen et al, 2014;Curatolo, Lamouri, Huet, & Rieutord, 2014). Maturity is used as a term for assessing the level of lean in organizations (Wong, Ignatius, & Soh, 2014), and lean must therefore be considered at a low maturity stage in hospitals.…”

Section: The Immaturity Of Lean In Healthcarementioning

confidence: 99%

Application of Lean Manufacturing in Hospitals—the Need to Consider Maturity, Complexity, and the Value Concept

Hasle

Nielsen

Edwards

2016

Hum Ftrs & Erg Mfg Svc

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Lean is widely applied in hospitals but the impact tend to be limited. This paper investigates three possible explanations: maturity, complexity and the value concept and analyses the bearing of these in a case study of lean application in a large Danish university hospital. The results indicate that lean tends to be applied in secondary and support functions with a logistic character, and therefore has had a limited impact on the overall healthcare performance. The case study show that there are constraints related to low lean maturity, the complexity of processes and operations as well as differences in value perceptions among the different professions within the hospital. The conclusion is that lean is useful for hospitals, but the lean concept as well as its implementation methods need to be fitted to the organisational complexity and diverging values in hospitals in order to bring about a larger impact. It is therefore necessary to develop new models for the lean concept as well as the implementation of lean adapted to the particular context of hospitals with a stronger focus on patient experiences and on coordination of social relations.

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“…In details, it has been investigated the degree of development of this approach in all the country, distinguishing among regions that have no relevant HLM experiences, or that have just introduced the subject providing specific training courses, or adopting IOCM. According to Curatolo et al (2014) and Zellner (2011), the level of HLM experience has been defined and measured through the identification of variables relevant for the analysis, as reported in Table II: • Level 0: no HLM projects, no adoption of IOCM and no inputs from RHP.…”

Section: Analysis Of Datamentioning

confidence: 99%

Mapping lean experiences and emerging connections with clinical risk management in Italian context

Crema

Verbano

2015

Business Process Management Journal

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Purpose -The purpose of this paper is to describe the Italian state of art of Health Lean Management (HLM) and to analyze the Italian projects that connect this approach with clinical risk management (CRM). Design/methodology/approach -After introducing Italian healthcare system and its main challenges, relevant Italian experiences have been searched investigating regional health plans (RHPs), managerial reports, books, workshops, conference proceedings and hospital web sites. The degree of experience of each Italian region has been first studied. Further, field of applicability, objectives, tools, practices and results of the projects with first signs of HLM and CRM integration have been analyzed. Findings -Although interest in new managerial approaches is spreading in almost all the territory and new managerial solutions are fostered in many RHPs, HLM projects are implemented patchy in Italy. For what regards HLM projects with CRM connections, the Italian context seems aligned with the international one, apart from few features. First indications for the implementation of HLM projects with CRM connections emerged. Originality/value -Healthcare systems are facing multiple challenges in a context where public funds decrease but quality of care must be guaranteed. Combining different managerial approaches could solve these issues. In this research, for the first time, a map about Italian HLM adoption has been drawn, and Italian HLM projects with CRM connections have been analyzed. The results constitute one of the first contributions useful to develop guidelines for the implementation of projects pursuing efficiency, quality and safety objectives.

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A critical analysis of Lean approach structuring in hospitals

Cited by 51 publications

References 52 publications

An exploratory study into the use of Lean Six Sigma to reduce medication errors in the Norwegian public healthcare context

An exploratory study into the use of Lean Six Sigma to reduce medication errors in the Norwegian public healthcare context

Application of Lean Manufacturing in Hospitals—the Need to Consider Maturity, Complexity, and the Value Concept

Mapping lean experiences and emerging connections with clinical risk management in Italian context

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