Kanban system applications in healthcare services: A literature review

Lanza-León, Paloma; Sánchez-Ruiz, Lidia; Cantarero, David

doi:10.1002/hpm.3276

Cited by 6 publications

(2 citation statements)

References 42 publications

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“…A recent review (Lanza-Leon et al. , 2021) of the use of Kanban in healthcare revealed that its application tends to be limited to pharmaceuticals/medication flows (Mouaky et al.…”

Section: Discussionmentioning

confidence: 99%

Diagnosing patient flow issues in the emergency department: an Australasian hospital case study

Boehme,

Rylands,

Fan

et al. 2024

JHOM

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PurposeThis study investigates how a hospital can increase the flow of patients through its emergency department by using benchmarking and process improvement techniques borrowed from the manufacturing sector.Design/methodology/approachAn in-depth case study of an Australasian public hospital utilises rigorous, multi-method data collection procedures with systems thinking to benchmark an emergency department (ED) value stream and identify the performance inhibitors.FindingsHigh levels of value stream uncertainty result from inefficient processes and weak controls. Reduced patient flow arises from senior management’s commitment to simplistic government targets, clinical staff that lack basic operations management skills, and fragmented information systems. High junior/senior staff ratios aggravate the lack of inter-functional integration and poor use of time and material resources, increasing the risk of a critical patient incident.Research limitations/implicationsThis research is limited to a single case; hence, further research should assess value stream maturity and associated performance enablers and inhibitors in other emergency departments experiencing patient flow delays.Practical implicationsThis study illustrates how hospital managers can use systems thinking and a context-free performance benchmarking measure to identify needed interventions and transferable best practices for achieving seamless patient flow.Originality/valueThis study is the first to operationalise the theoretical concept of the seamless healthcare system to acute care as defined by Parnaby and Towill (2008). It is also the first to use the uncertainty circle model in an Australasian public healthcare setting to objectively benchmark an emergency department's value stream maturity.

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“…A recent review (Lanza-Leon et al. , 2021) of the use of Kanban in healthcare revealed that its application tends to be limited to pharmaceuticals/medication flows (Mouaky et al.…”

Section: Discussionmentioning

confidence: 99%

Diagnosing patient flow issues in the emergency department: an Australasian hospital case study

Boehme,

Rylands,

Fan

et al. 2024

JHOM

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“…Kanban is an information system that allows control over the production of products in the time and quantity required in all processes, with multiple benefits such as inventory reduction and improved operator satisfaction [16].…”

Section: Kanbanmentioning

confidence: 99%

Implementation of Lean Manufacturing to Increase Productivity in the Manufacture of Kitchen Sinks in a Metal-Mechanical Company

Lazarte-Pazos,

Ordoñez-Carrión,

Avalos-Ortecho

2023

Advances in Transdisciplinary Engineering

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The application of the lean manufacturing strategy aims to reduce waste and increase the productivity of the organization in which it is applied; however, in Peru many companies in the metal-mechanical industry do not know how to implement it. The objective of the research is the application of lean manufacturing tools to increase productivity in the manufacturing of washing machines. We implemented 5S to reduce time and route waste, Kanban to standardize production based on demand and lead time, as well as the use of MRPII for its execution. In addition, it was complemented with the Jidoka philosophy to eliminate defective products. The study was carried out in a SMEs company of the metal-mechanic sector that after performing the diagnosis using VSM, productivity (0.1858 washers/H-H), defective products (9.06%) and delivery time compliance (64.67%) of stainless teel washers were identified as the main problems. The imputs found in the data collection were low delivery reliability, high defective rate and low productivity. After the application of Kanban, 5S and Jidoka, an improvement was obtained in the percentage of washers delivered on time to 100% of the orders, a reduction in the percentage of defective products to 3.23%, and an increase in productivity of 5.02%.

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The San Francisco Health Systems Collaborative: Public Health and Health Care Delivery Systems’ Response to the Covid-19 Pandemic

Mercer,

Day,

Ansari

et al. 2024

NEJM Catalyst

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Kanban system applications in healthcare services: A literature review

Cited by 6 publications

References 42 publications

Diagnosing patient flow issues in the emergency department: an Australasian hospital case study

Diagnosing patient flow issues in the emergency department: an Australasian hospital case study

Implementation of Lean Manufacturing to Increase Productivity in the Manufacture of Kitchen Sinks in a Metal-Mechanical Company

The San Francisco Health Systems Collaborative: Public Health and Health Care Delivery Systems’ Response to the Covid-19 Pandemic

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