Study on Techniques and Tools Used in Lean Healthcare Implementation: A Literature Review

Senna, Pedro; Gomes, Andreia Macedo; Monteiro, Aluisio; Pinha, Denis C.

doi:10.14488/bjopm.2016.v13.n4.a1

Cited by 12 publications

(6 citation statements)

References 34 publications

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“…Other common tools include standard work, i.e., a concept whereby each work activity is precisely described with a specific cycle time, task sequence, and other steps involved within the process [95], and is considered a prerequisite for flow [10]; the 5'S program, which is used to eliminate clutter [165] and enhance the standardization of stock, as well as to systematically organize the unit and streamline the documentation processes [97]; cause and effect analyses, which are used to map the possible causes of a problem into categories [90,166]; and Kaizen, which is a philosophy of continuous incremental improvement over time and space [29,99,104]. These findings are similar with those reported in previous studies [44,62,161], and sustain the assertion that most LH interventions focus more on tools related to assessment and improvement and less on processes-monitoring tools.…”

Section: Lean Healthcaresupporting

confidence: 80%

“…Most studies used the value stream map tool to represent both the current and future states of patient flow, thereby confirming the great importance and usefulness to identify VA and NVA activities. This importance has been pointed out by other studies [134,[161][162][163][164]. Other common tools include standard work, i.e., a concept whereby each work activity is precisely described with a specific cycle time, task sequence, and other steps involved within the process [95], and is considered a prerequisite for flow [10]; the 5'S program, which is used to eliminate clutter [165] and enhance the standardization of stock, as well as to systematically organize the unit and streamline the documentation processes [97]; cause and effect analyses, which are used to map the possible causes of a problem into categories [90,166]; and Kaizen, which is a philosophy of continuous incremental improvement over time and space [29,99,104].…”

Section: Lean Healthcaresupporting

confidence: 53%

See 1 more Smart Citation

Assessing the Impact of Lean Healthcare on Inpatient Care: A Systematic Review

Zepeda-Lugo

Tlapa

Báez-López

et al. 2020

IJERPH

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Healthcare services are facing challenges in increasing their efficiency, quality of care, and coping with surges in demand. To this end, some hospitals have implemented lean healthcare. The aim of this systematic review is to evaluate the effects of lean healthcare (LH) interventions on inpatient care and determine whether patient flow and efficiency outcomes improve. The review was performed according to PRISMA. We used six databases to search for studies published from 2002 to 2019. Out of 5732 studies, 39 measuring one or more defined outcomes were included. Hospital length of stay (LOS) was measured in 23 studies, 16 of which reported a reduction, turnover time (TOT) decreased in six out of eight studies, while the turnaround time (TAT) and on-time starts (OTS) improved in all five and seven studies, respectively. Moreover, eight out of nine studies reported an earlier discharge time, and the boarding time decreased in all four cases. Meanwhile, the readmission rate did not increase in all nine studies. Lastly, staff and patient satisfaction improved in all eight studies. Our findings show that by focusing on reducing non-value-added activities, LH contributed to improving patient flow and efficiency within inpatient care.

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Section: Lean Healthcaresupporting

confidence: 80%

Section: Lean Healthcaresupporting

confidence: 53%

Assessing the Impact of Lean Healthcare on Inpatient Care: A Systematic Review

Zepeda-Lugo

Tlapa

Báez-López

et al. 2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…The VSM is commonly used in conjunction with other tools to differentiate valueadded activities from activities with no value [154,171]. In terms of the maps drawn in the reviewed papers, it is common to find diagrams that are not exactly a VSM but are used to analyze processes.…”

Section: Discussionmentioning

confidence: 99%

The Role of Value Stream Mapping in Healthcare Services: A Scoping Review

Marín-García

Vidal-Carreras

García-Sabater

2021

IJERPH

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Lean healthcare aims to manage and improve the processes in the healthcare sector by eliminating everything that adds no value by improving quality of services, ensuring patient safety and facilitating health professionals’ work to achieve a flexible and reliable organization. Value Stream Mapping (VSM) is considered the starting point of any lean implementation. Some papers report applications of VSM in healthcare services, but there has been less attention paid to their contribution on sustainability indicators. The purpose of this work is to analyze the role of VSM in this context. To do so, a scoping review of works from recent years (2015 to 2019) was done. The results show that most applications of VSM reported are in the tertiary level of care, and the United States of America (USA) is the country which leads most of the applications published. In relation with the development of VSM, a heterogeneity in the maps and the sustainability indicators is remarkable. Moreover, only operational and social sustainability indicators are commonly included. We can conclude that more standardization is required in the development of the VSM in the healthcare sector, also including the environmental indicators.

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“…Nowadays. VSM has been widely used in many sector such as healthcare industry, manufacturing industry, finance firm, office environment, etc [15]. It has been recognized that VSM is a powerful lean tool to improve the productivity of manufacturing industries.…”

Section: Value Stream Mappingmentioning

confidence: 99%

Value Stream Mapping to Improve Workplace to support Lean Environment

et al. 2017

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Abstract. In recent years, lean manufacturing is being followed by various sectors in order to keep their competitiveness in the global markets. Lean manufacturing plays a vital role in improving the efficiency of operation by eliminating or reducing wastes. Nonetheless, most of small and medium enterprises (SMEs) lack sufficient knowledge or information on the benefits of implementing lean manufacturing. The main objective of this study is to apply value stream mapping, one of lean manufacturing tools, for improving the productivity in a SME by eliminating non-value added activities. In this study, lean manufacturing was adopted at a SME, particularly a food industry. Value stream mapping was served as main tool to identify the wastes and improvement opportunities in production line. Subsequently, different lean manufacturing tools such as Kaizen Burst, one piece flow, and 5S were applied to eliminate or reduce identified wastes. Based on the future state value stream mapping, final results showed that the total operation time and non-added value activities time were successfully decreased from 1993 seconds to 1719 seconds, and 234 seconds to 104 seconds, respectively. The findings of this study indicate that value stream mapping is an effective approach to eliminate the wastes and improve the productivity.

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Study on Techniques and Tools Used in Lean Healthcare Implementation: A Literature Review

Cited by 12 publications

References 34 publications

Assessing the Impact of Lean Healthcare on Inpatient Care: A Systematic Review

Assessing the Impact of Lean Healthcare on Inpatient Care: A Systematic Review

The Role of Value Stream Mapping in Healthcare Services: A Scoping Review

Value Stream Mapping to Improve Workplace to support Lean Environment

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