Lean thinking in healthcare – Findings from a systematic literature network and bibliometric analysis

Akmal, Adeel; Greatbanks, Richard; Foote, Jeff

doi:10.1016/j.healthpol.2020.04.008

Cited by 66 publications

(92 citation statements)

References 87 publications

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“…In fact, Akmal et al [24] recently found, that while many researchers explain why they implemented LT, only 22% out of 299 articles mentioned "how", which speaks of the necessity for more case studies in the literature like that presented here. Akmal et al [24] also found that only two articles had reported on KEs in the SPD, and only one study mentioned the seven sources of waste. This article adds to the body of knowledge by describing a success story of implementing EKE in the SPD and sharing our findings regarding the seven waste sources in our setting.…”

Section: Introductionmentioning

confidence: 64%

“…Researchers have studied the reasons behind this and concluded that many of the factors are centered around resistance to change due to lack of employee training and participation, lack of management involvement, lack of incentives, and lack of experience [16][17][18][19]. Nevertheless, some researchers argue that LT is well on its way to being validated in healthcare [20] and others have reported the benefits of implementing LT in healthcare [8][9][10][11][12][13][14][15][21][22][23][24].…”

Section: Introductionmentioning

confidence: 99%

“…Akmal et al [ 24 ] stated the importance not just of implementing LT in healthcare, but of closing the gap between LT and Healthcare Supply Chain Management (HSCM). One example of a supply chain within a hospital is the Operating Room (OR) and all its upstream and downstream departments.…”

Section: Introductionmentioning

confidence: 99%

“…Since there is great pressure to reduce waste and cost in healthcare [ 24 ], the reprocessing of reusable instruments has grown, resulting in increased workload at the SPDs [ 2 ]. Some researchers have focused on surgical tray optimization by reducing the instruments present on surgical trays or by creating trays for specific procedures [ 2 , 3 , 7 , 23 , 25 , 26 ].…”

Section: Introductionmentioning

confidence: 99%

“…Nevertheless, little emphasis has been brought to surgical instrument processing research in the medical literature [ 27 ]. In addition, little work has been done on implementing LT in an SPD [ 24 , 28 ].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

An Enhanced Kaizen Event in a Sterile Processing Department of a Rural Hospital: A Case Study

Nino

Chipperfield

Valladares

et al. 2020

IJERPH

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Operating Rooms (ORs) generate the largest revenues and losses in a hospital. Without the prompt supply of sterile surgical trays from the Sterile Processing Department (SPD), the OR would not be able to perform surgeries to its busy schedule. Nevertheless, little emphasis has been brought in the medical literature to research on surgical instrument processing in the medical literature. The present study was done applies an Enhanced Kaizen Event (EKE) in the SPD of a rural hospital to identify sources of waste and minimize non-value-added steps in the SPD processes. The EKE consisted of three successive Plan-Do-Check-Act (PDCA) cycles, which focused on improvements at the departmental level first, then at an area level, and finally at the station level. The EKE yielded an improved streamlined workflow and a new design for the SPD layout, one of its areas, and a workstation. This paper aims at building a methodology, including identified steps. Results exhibited a 35% reduction in travel distance by the staff, eliminating non-value-added processes, reducing errors in the sterilization process, and eliminating cross-contamination for sterilized materials.

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Section: Introductionmentioning

confidence: 64%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

An Enhanced Kaizen Event in a Sterile Processing Department of a Rural Hospital: A Case Study

Nino

Chipperfield

Valladares

et al. 2020

IJERPH

View full text Add to dashboard Cite

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Measurement Systems, Brilliant Processes, and Exceptional Results in Healthcare: Untapped Potentials of Person-Centered Outcome Metrology for Cultivating Trust

Fisher

2022

Springer Series in Measurement Science and Technology

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An historic shift in focus on the quality and person-centeredness of health care has occurred in the last two decades. Accounts of results produced from reinvigorated attention to the measurement, management, and improvement of the outcomes of health care show that much has been learned, and much remains to be done. This article proposes that causes of the failure to replicate in health care the benefits of “lean” methods lie in persistent inattention to measurement fundamentals. These fundamentals must extend beyond mathematical and technical issues to the social, economic, and political processes involved in constituting trustworthy performance measurement systems. Successful “lean” implementations will follow only when duly diligent investments in these fundamentals are undertaken. Absent those investments, average people will not be able to leverage brilliant processes to produce exceptional outcomes, and we will remain stuck with broken processes in which even brilliant people can produce only flawed results. The methodological shift in policy and practice prescribed by the authors of the chapters in this book moves away from prioritizing the objectivity of data in centrally planned and executed statistical modeling, and toward scientific models that prioritize the objectivity of substantive and invariant unit quantities. The chapters in this book describe scientific modeling’s bottom-up, emergent and evolving standards for mass customized comparability. Though the technical aspects of the scientific modeling perspective are well established in health care outcomes measurement, operationalization of the social, economic, and political aspects required for creating new degrees of trust in health care institutions remains at a nascent stage of development. Potentials for extending everyday thinking in new directions offer hope for achieving previously unattained levels of efficacy in health care improvement efforts.

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Predicting Medicine Administration Times in the Inpatient Ward Using Data Analytics

Jaimez Olarte,

Guerrero

2023

Lecture Notes in Operations Research

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Lean thinking in healthcare – Findings from a systematic literature network and bibliometric analysis

Cited by 66 publications

References 87 publications

An Enhanced Kaizen Event in a Sterile Processing Department of a Rural Hospital: A Case Study

An Enhanced Kaizen Event in a Sterile Processing Department of a Rural Hospital: A Case Study

Measurement Systems, Brilliant Processes, and Exceptional Results in Healthcare: Untapped Potentials of Person-Centered Outcome Metrology for Cultivating Trust

Predicting Medicine Administration Times in the Inpatient Ward Using Data Analytics

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