Academic literature on the topic 'Lean healthcare'

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Journal articles on the topic "Lean healthcare"

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Coelho, Stela Maris, Carlos Frederico Pinto, Robisom Damasceno Calado, Evelin Araujo Marotta, Elisangela Romano, and Messias Borges Silva. "Lean healthcare." Journal of Innovation and Healthcare Management 1, no. 1 (August 10, 2015): 1–9. http://dx.doi.org/10.20396/jihm.v1i1.9305.

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The case study / report presented describes how processes were improved using Lean Value Stream Mapping tools and Queue Theory tools. Major outcomes were focused on reducing waiting time for patient access to treatment slots and reducing daily waiting time for access to treatment slots. The performance improvement was in the order of 75% total access slots, reducing from two hours to 30 minutes; and access to care waiting time reduced from more than three months to same day access to special cases; and one week waiting time or “planned access” to all other. The process redesign also eliminated up to three hours of overtime daily.
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Burgess, Nicola, and Zoe Radnor. "Evaluating Lean in healthcare." International Journal of Health Care Quality Assurance 26, no. 3 (March 15, 2013): 220–35. http://dx.doi.org/10.1108/09526861311311418.

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Bliss, Dean. "Lean in Healthcare—Wow." Frontiers of Health Services Management 26, no. 1 (2009): 39–42. http://dx.doi.org/10.1097/01974520-200907000-00006.

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Moffatt, Elizabeth K. "Applying Lean in Healthcare." AORN Journal 93, no. 2 (February 2011): 309–10. http://dx.doi.org/10.1016/j.aorn.2010.11.007.

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Dorval, Marc, and Marie-Hélène Jobin. "Exploring lean generic and lean healthcare cultural clusters." International Journal of Productivity and Performance Management 69, no. 4 (September 13, 2019): 723–40. http://dx.doi.org/10.1108/ijppm-01-2019-0057.

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Purpose Lean culture has been noted to be an underdeveloped concept. The purpose of this paper is to increase the understanding of Lean culture by determining its leading cultural clusters. Design/methodology/approach Content analysis was used to perform top relevant keywords exploration and qualitative analysis on main text of 33 reference books, 21 Lean generic and 12 Lean healthcare, consolidated as three cases (Lean general, Lean Liker et al. and Lean healthcare). Findings Four emergent Lean’s leading cultural clusters: operations, change, collectivity and humanity were identified inductively from ten 10 relevant keywords, namely, in order of importance: work, time, process, Lean, system, improvement, production, patient, people and team. Saliency of the word “time” is noteworthy. Cross-validation of these cultural clusters is demonstrated through sociotechnical systems theory. Research limitations/implications Content analysis is shown to be an effective research method enabling inductive analysis. Identification of four leading clusters should support productive further research on Lean culture. Practical implications The four cultural clusters indicate to healthcare and other domains managers, who wish to improve their Lean cultural transformation success rate, to focus their attention to what their organization actually does (operations), to how improvement happens (change) and to how everything (collectivity) and everyone (humanity) work together in their organization. Originality/value This work applies innovative content analysis on Lean reference books. It highlights the importance of time as an underappreciated Lean culture element. It provides evidence and additional support for link between Lean and sociotechnical systems theory.
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Magauov, Tolegen. "ISO and Lean Quality Management Systems in Healthcare." Journal "Medicine" 11-12, no. 221-222 (January 30, 2021): 13–21. http://dx.doi.org/10.31082/1728-452x-2020-221-222-11-12-13-21.

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Currently, in the healthcare of the Republic of Kazakhstan and many other countries, ISO standards are mandatory, and also in some countries the Lean Production System is used. In the Republic of Kazakhstan, the Ministry of Health issued guidelines for the implementation of lean technologies in healthcare organizations in 2017. However, the introduction of Lean technologies is not yet mandatory and has not become widespread in medical organizations in our country. In this regard, information on Lean technologies, experience of their application and effectiveness in healthcare organizations is useful for our medical managers and workers. Goal. Analysis of literature data on ISO and Lean quality management systems, their comparison, experience of application in healthcare organizations and efficiency. Material and methods. For this analysis, we searched for information on the issue with a depth of up to 20 years. Search for publications on the topic of the review was carried out in the databases of PubMed / MEDLINE, PMC, EMBASE, Web of Since, as well as a broad search through the browsers Google.com and Yahoo.com. The search criteria were combinations of terms: quality management system, healthcare, and lean production. Results and discussion. The description of the main features of the quality management systems ISO and Lean, as well as their comparison have been made. Information on the use of these systems in healthcare organizations is given. Currently, the Lean manufacturing system has been implemented in all healthcare organizations in the province of Saskatchewan (Canada), and a large-scale implementation has begun in the Russian Federation. Many medical organizations are implementing Lean system on their own initiative. Most publications have positive feedback on the Lean application. However, there are also several critical articles that the published positive reports lack a strong evidence base. In addition, it is impossible to compare the reports of different organizations due to the lack of a unified system for evaluating the effectiveness of Lean. Conclusion. The Lean manufacturing system is increasingly being used in healthcare organizations. Mostly positive results of Lean application are reported. However, the issue of its effectiveness in healthcare requires further research, since most of the reports cannot be considered as hard evidence. Keywords: quality management system, quality of care, lean management, customer satisfaction
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Jorma, Tapani, Hanna Tiirinki, Risto Bloigu, and Leena Turkki. "LEAN thinking in Finnish healthcare." Leadership in Health Services 29, no. 1 (February 1, 2016): 9–36. http://dx.doi.org/10.1108/lhs-08-2015-0021.

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Purpose – The purpose of this study is to evaluate how LEAN thinking is used as a management and development tool in the Finnish public healthcare system and what kind of outcomes have been achieved or expected by using it. The main focus is in managing and developing patient and treatment processes. Design/methodology/approach – A mixed-method approach incorporating the Webropol survey was used. Findings – LEAN is quite a new concept in Finnish public healthcare. It is mainly used as a development tool to seek financial savings and to improve the efficiency of patient processes, but has not yet been deeply implemented. However, the experiences from LEAN initiatives have been positive, and the methodology is already quite well-known. It can be concluded that, because of positive experiences from LEAN, the environment in Finnish healthcare is ready for the deeper implementation of LEAN. Originality/value – This paper evaluates the usage of LEAN thinking for the first time in the public healthcare system of Finland as a development tool and a management system. It highlights the implementation and achieved results of LEAN thinking when used in the healthcare environment. It also highlights the expectations for LEAN thinking in Finnish public healthcare.
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Carroll, Jean Gayton. "Lean-Six Sigma for Healthcare." Quality Management in Health Care 15, no. 1 (January 2006): 67. http://dx.doi.org/10.1097/00019514-200601000-00010.

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Improta, Giovanni, Giovanni Balato, Carlo Ricciardi, Mario Alessandro Russo, Ida Santalucia, Maria Triassi, and Mario Cesarelli. "Lean Six Sigma in healthcare." TQM Journal 31, no. 4 (July 8, 2019): 526–40. http://dx.doi.org/10.1108/tqm-10-2018-0142.

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Purpose Since healthcare spending accounts for approximately 6.6 per cent of the gross domestic product, reducing waste in health facilities is necessary to generate significant cost savings. After previous work concerning the application of Lean Six Sigma (LSS) to hip surgery, the purpose of this paper is to use LSS as the correct methodology to analyse a clinical pathway. Fast track surgery was introduced to the Complex Operative Unit of Orthopaedic and Traumatology of the University Hospital “Federico II” to improve quality and further reduce costs associated with prosthetic hip replacement surgery. Design/methodology/approach The DMAIC (Define, measure, analyse, improve, control) roadmap was used as the typical problem-solving approach of the LSS methodology. A rigorous process of defining, measuring, analysing, improving and controlling business problems can be used to reach fixed goals. The paper was written following the Standards for Quality Improvement Reporting Excellence (SQUIRES Guidelines). Findings In this work, the authors found that multiple variables could influence the length of hospital stay (LOS) for inpatient treatment, thereby increasing patient management costs due to longer periods of hospitalisation. Therefore, LSS analysis of the implemented corrective actions demonstrated the efficacy and efficiency of the novel protocol. The average LOS was reduced from 10.66 to 7.8 days (−26.8 per cent). Originality/value The introduction of fast track surgery was validated through a rigorous LSS analysis, which demonstrated that the new protocol benefitted both patients and the hospital.
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Wood, David. "A Prescription for Lean Healthcare." Healthcare Quarterly 17, no. 2 (April 1, 2014): 24–28. http://dx.doi.org/10.12927/hcq.2014.23881.

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Dissertations / Theses on the topic "Lean healthcare"

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Burgess, Nicola. "Evaluating lean in healthcare." Thesis, University of Warwick, 2012. http://wrap.warwick.ac.uk/50272/.

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The overarching aim of this thesis is to evaluate Lean implementation in the English NHS. Against a background of financial austerity measures and the ostensible widespread adoption of Lean in the UK public sector, and particularly by healthcare organisations, the objective is to understand how Lean is being implemented by NHS hospital Trusts, and whether there is any quantitative evidence that Lean implementation is improving hospital performance. Adopting Pettigrew and Whipp’s (1991) framework of strategic change, this thesis aims to present theoretically sound and practically useful research through an exploration of the context, process and content of Lean implementation by English hospital Trusts. In order to achieve this, the research employs a mixed methods research design incorporating document analysis3, quantitative analysis and case study analysis to afford an insight into the implementation of Lean from multiple viewpoints and facilitate the development of new insights relating to the phenomena of Lean implementation in English hospital Trusts. The research provides a contribution to knowledge in three key areas: firstly through the identification and validation of a typology of approaches to Lean implementation by English hospital Trusts i.e. a characterisation of the method of Lean implementation; secondly through quantitative analysis and discussion of the potential link between Lean implementation and increased performance; and thirdly a set of propositions that provide a narrative and logic to explain the influence of contextual factors upon the process of Lean implementation in English hospitals.
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Casteberg, Anna, and Emelie Hägglund. "Lean : En komparativ studie mellan Lean Service och Lean Healthcare." Thesis, Södertörns högskola, Institutionen för ekonomi och företagande, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-9402.

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Camber, Henrik. "Lean Production vs Lean Healthcare : En jämförelse inom sjukvården." Thesis, Södertörns högskola, Institutionen för samhällsvetenskaper, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:sh:diva-26741.

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This thesis focuses on how to describe how Lean adapts within the healthcare. Lean has become a control system   as more and more companies are using in order to create competition in order to increase the quality and efficiency. This theory has now become implemented in the healthcare. The project has been organized with patients and that has created a flow in the daily work. Our study has used qualitative research strategy where we have started from secondary data presented for hospitals in the Stockholm area and a report written by John Rognes and Anna Svarts “Lean i vården” (2011). To map which hospitals are using Lean. The purpose is to identify how lean production has been implemented into four hospitals in the Stockholm area, to study how the difference are between the hospitals version of Lean compare to the fundamental, Lean production. The study describe that Lean within the healthcare is not so different compared to Lean Production in the industry. But the big different is that Lean within the healthcare is more focused on the patients and their process during the hospital visit. Lean Production is more focused on the production to the final product.
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Dalbom, Emil, and Ludvig Danielsson. "Lean Healthcares spridning och översättning : en PMI-studie och innehållsanalys över Lean Healthcare i svensk sjukvård." Thesis, Uppsala universitet, Företagsekonomiska institutionen, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-417742.

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Denna studie undersöker Lean Healthcare, som är ett koncept ursprungligen från industrisektorn för att bland annat minimera fel och genomföra tidsbesparingar och som nu har anpassats till vården. Teorin utgår från att managementkoncept följer ett mode där det är svängningar i popularitet under dess livscykel samt att det sker en översättning av koncept som reser. Genom en PMI-studie undersöks populariteten i media och ser hur det har varierat över livslängden. En kvantitativ innehållsanalys används sedan på ett urval av det insamlade materialet för att se hur konceptet har blivit översatt genom media. Resultatet visar att Lean Healthcare följer den traditionella livscykeln för managementkoncept till stor del men avviker i form av en andra uppgång. Konceptet har översatts från en positiv framställning där argument som resursbesparing och effektivisering belystes till en negativ framställning där en sårbarhet med Just-in-time användes som argument.
This study examines Lean Healthcare, which is a concept originally from the industrial sector with the intention to, among other things, minimize errors and facilitate time savings. The concept has later been adapted to healthcare. The theoretical framework assumes that management concepts follows a fashion in which there are fluctuations in popularity during its lifecycle. The concept also goes through a translation process as it travels. A PMI study examines the popularity of the concept in media and analyses how it has varied over the life span. A quantitative content analysis is then used on a selection of the collected material to see how the concept has been translated through the media. The result shows that Lean Healthcare largely follows the traditional life cycle of management concepts but deviates in the form of a second upturn. The concept has been translated from a positive view where arguments such as resource saving and streamlining were highlighted to a negative presentation where a vulnerability from Just-in-time was used as an argument.
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Lindsay, Claire Frances. "Lean in healthcare : an evaluation of Lean implementation in NHS Lothian." Thesis, Edinburgh Napier University, 2016. http://researchrepository.napier.ac.uk/Output/455610.

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The overarching aim of this thesis is to critically evaluate the implementation of Lean in NHS Lothian, a National Health Service (NHS) Health Board in Scotland. Against challenging financial times, Lean has been endorsed for adoption in the provision of healthcare by The Scottish Government and NHS Scotland and so the objectives are to understand how Lean is implemented in healthcare, the impact on the organisation and what role(s) are held by front-line staff including medical staff, in this implementation. This is an exploratory and descriptive interpretivist case study incorporating content analysis, observational and interview data which is based on a qualitative and inductive approach. The interpretative and inductive nature of the research is used to identify emergent themes and to afford greater insight into the implementation process, outcomes and the role of healthcare staff. The sociology of professions is used to evaluate the role of the medical professional within Lean from the emergent data, with the focus being on behaviours expected and demonstrated in Lean implementations. The findings provide a mapping of the process for implementing Lean. It is also demonstrated that although medical professionals are expected to hold a crucial role in Lean implementations, their identity as a professional with corresponding power and autonomy provides challenges for implementing Lean in hierarchical areas such as healthcare. This professional identity also impacts on project initiation and sustainability as other stakeholders recognise hierarchical constraints. However, evidence grounded in the data illustrates that Lean breaks down hierarchies and has resulted in improved working in services. The implementation of Lean has been programmatic in line with best-practice case examples and has been driven by strategy and target pressures faced by services. This research provides a contribution to knowledge in three key areas: firstly through mapping the approach to Lean implementation which is a contribution to Programme Theory. Secondly medical professionals are explored through the lens of professionalism which has received limited attention to date within Lean; and finally a set of propositions are generated as a framework for Lean implementation in healthcare.
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Costa, Luana Bonome Message. "Evidências de lean healthcare em hospitais brasileiros." Universidade Federal de São Carlos, 2015. https://repositorio.ufscar.br/handle/ufscar/3782.

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Studies show that healthcare sector in Brazil is a highlighted sector in the current scenario of the country, mainly due to dissatisfaction of the population with respect to the services provided. This sector is under continuous pressure to improve services and patient safety and reduce costs, waiting times, and errors. In view of this scenario, it is evident the importance of research that present strategies and tools to assist the healthcare sector to improve its performance in Brazil, Lean is one of these strategies. To assess the state of the art on the subject, it was performed a review, classification and analysis of the literature, aiming to update the literature reviews of Mazzocato et al. (2010) and Souza (2009), and thus present the current developments in the subject area. To better understand the Lean Healthcare implementation process, and the benefits gained from such implementation, a case study was conducted in two Brazilian hospitals. It was studied two sectors of Hospital-Case A: Sterile Services Department and Pharmacy; and three sectors of Hospital-Case B: Chemotherapy, Operating Room and Radiotherapy. The analysis of the cases and the literature reviewed shows that it is important to use Lean tools in a logical and structured manner; the barriers and critical factors to the success of Lean implementation are associated with human factor and cultural changes; and the results obtained indicate that the work is targeted to reduce the lead time (patient and information), increased capacity and improved financial performance.
Estudos mostram que o setor de saúde no Brasil é um setor em destaque no cenário atual do país, devido principalmente à insatisfação da população com relação aos serviços prestados. Este setor encontra-se sob contínua pressão para melhorar os serviços e a segurança do paciente, bem como reduzir custos, tempos de espera, e erros. Frente ao cenário apresentado, fica evidente a importância de pesquisas que apresentem estratégias e ferramentas para auxiliar a área de saúde a melhorar seu desempenho no Brasil, sendo o uso de Lean Healthcare uma dessas estratégias. Para avaliar o estado da arte sobre o assunto, foi realizada uma revisão, classificação e análise da literatura, atualizando as revisões de Mazzocato et al. (2010) e Souza (2009), e assim, pode-se apresentar a evolução atual do assunto na área. Para melhor entender o processo de implementação de Lean Healthcare, e os benefícios obtidos com tal implementação, foram estudados os casos de dois hospitais brasileiros, sendo estudados dois setores do Hospital-Caso A: Central de Material Esterilizado e Farmácia; e três setores do Hospital-Caso B: Quimioterapia, Centro Cirúrgico e Radioterapia. A análise dos casos e da literatura revisada mostra que é importante usar as ferramentas Lean de forma lógica e estruturada; que as barreiras e os fatores críticos para o sucesso da implementação Lean estão associados com fator humano e mudança cultural; e que os resultados obtidos apontam que os trabalhos estão direcionados para redução de lead time (paciente e informação), aumento da capacidade e melhoria do desempenho financeiro.
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Liscio, Mark. "Lean Healthcare Solutions, Inc.| A business proposal." Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10116159.

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Federal healthcare reform has been a major driver for the widespread shift towards high-quality, value-based care at healthcare organizations in the United States. With increased emphasis on quality and value in healthcare, process and performance improvement have been identified and capitalized upon as methods by which to achieve higher quality clinical outcomes, increase patient safety and satisfaction and improve care coordination. For past several decades, lean management and related doctrines and principles have been widely adopted among healthcare organizations in the United States for process and performance improvement purposes. This business plan proposes a lean management consulting firm for healthcare organizations of all sizes and delivery models in the Greater Los Angeles area with a mission to deliver state-of-the-art lean education and training to management and staff of all backgrounds and roles. The aim of the proposed firm is to train, develop and empower its clients to ensure continuous quality improvement and eventually become one of the biggest lean consulting players in the market.

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Duke, Caitlin R. "How Healthcare Accounting Adapts to Lean Practices." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/honors/388.

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Healthcare has recently begun a push towards more lean practices and management. Healthcare accounting, in an effort to reflect business practices, must change to accurately reflect reality. This research seeks to explore how healthcare providers improve their accounting systems to keep up with an ever-changing lean environment. By examining both healthcare and accounting literature, this comprehensive literature review seeks to answer the question, “How does healthcare accounting adapt to lean philosophies?”.
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Berggren, Lillemor. "Lean Healthcare - Hur införande av Lean påverkat informationsförsörjning inom ett kliniskt mikrosystem." Thesis, Linnéuniversitetet, Institutionen för datavetenskap, fysik och matematik, DFM, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-13377.

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En kvalitetsförbättrande metod som senaste åren blivit vanlig inom Hälso- och sjukvård är Lean Healthcare - en verksamhetsfilosof som går ut på att eliminera slöseri och skapa värde för patienterna. I takt med att informationssystem och informationsteknik (IT) har utvecklats har informationsförsörjning fått en allt viktigare roll i vårdprocessen. Tidigare undersökningar visar dock att vårdpersonalen upplever att det finns många brister kopplade till informationssystem och IT. En explorativ fallstudie genomfördes där kvalitativ data samlades in med hjälp av intervjuer, dokumentstudier samt observation. Syftet var att beskriva hur informationsförsörjningen påverkats i ett kliniskt mikrosystem och i en vårdprocess som infört Lean. Resultatet visar att mikrosystemets leaninförande har fått positiva resultat inom framgångsgrupperna patienter, personal, resultat/processer/flöden och ledarskap. Däremot har information och IT haft mycket litet betydelse i förbättringsarbetet. Mikrosystemets informationsmiljö har dock förändrats, den visuella informationen har blivit mycket viktig och den analoga mer allmänna informationen har påverkats positivt.  Trots mängden analog och visuell information är det inom digitala informationssystem och dokumentation som mikrosystemet upplever att det förekommer mest slöseri. När det gäller analog information känner vårdpersonalen att de kan eliminera slöseri med hjälp av leanprinciper och metoder, exempelvis 5S. Däremot anser de inte att de har möjlighet att påverka den digitala informationen i samma utsträckning och för vårdpersonalen faller sig inte förbättring av informationsflöden lika naturligt som att förbättra patientnära aktiviteter i vårdprocessen.
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Simões, Filipe Miguel Coutinho do Amaral. "Lean Healthcare : o conceito Lean aplicado à realidade dos serviços de saúde." Master's thesis, Universidade de Aveiro, 2009. http://hdl.handle.net/10773/1729.

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Mestrado em Gestão da Tecnologia, Inovação e Conhecimento
Presentemente a evolução de conceitos e a crescente necessidade de apresentar uma gestão eficaz num sistema recheado de dificuldades, algumas delas quase crónicas, como é o da saúde, leva a que se criem pontos de intersecção com as boas práticas de gestão. Desse modo, o presente trabalho procura identificar uma metodologia de gestão denominada de Lean e a sua introdução e aplicabilidade nos serviços de saúde, adiante designado de Healthcare, particularmente em ambiente hospitalar Português. Pretende-se, assim, desenhar um estudo exploratório para a actual realidade em termos de penetração desta metodologia tendo sido efectuadas visitas a um conjunto de Hospitais de forma a caracterizar o estado de arte actual, em Lean Healthcare. Assim, e considerando as diferenças entre as diversas realidades hospitalares que obrigariam a um exercício mais profundo e que fugiria do âmbito deste trabalho, apresenta-se um estudo comparativo e algumas conclusões entre duas realidades ao nível do supply chain hospitalar. ABSTRACT: Nowadays the evolution of concepts and growing need to present a racional and effective management of resources in an environment filled with difficulties, some of them chronic, has the Healthcare, almost obliges to take some intersection points with the management best practices. Therefore, this paper tries to identify a management methodology called Lean and its introduction and applicability in Healthcare, mainly in the Portuguese hospitals environment. This paper seeks to present a exploratory study of the actual degree of Lean methodology penetration in Healthcare at Portuguese Hospitals. In order to understand the actual state of the art in Lean Healthcare a group of hospitals was visited. Considering that each hospital as a different reality, fact that could oblige to a more profound study that would escape from the focus of this paper, we present a comparative study and some conclusions between two realities on the level of hospital supply chain.
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Books on the topic "Lean healthcare"

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Pyzdek, Thomas. The Lean Healthcare Handbook. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-69901-7.

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Wickramasinghe, Nilmini, Latif Al-Hakim, Chris Gonzalez, and Joseph Tan, eds. Lean Thinking for Healthcare. New York, NY: Springer New York, 2014. http://dx.doi.org/10.1007/978-1-4614-8036-5.

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Zidel, Thomas G. Rethinking Lean in Healthcare. Boca Raton : CRC Press/Taylor & Francis, 2017.: Productivity Press, 2016. http://dx.doi.org/10.1201/9781315381169.

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Ward, Adam. Lean Design in Healthcare. Boca Raton : Taylor & Francis, 2018.: Productivity Press, 2018. http://dx.doi.org/10.4324/9781351015554.

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Wellman, Joan, Pat Hagan, Howard Jeffries, and Cara Bailey. Leading the Lean Healthcare Journey. Second edition. | Boca Raton : Taylor & Francis, 2017. |: Productivity Press, 2016. http://dx.doi.org/10.1201/9781315369303.

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White, Brad. Lean Daily Management for Healthcare. Boca Raton, FL : CRC Press, 2016.: Productivity Press, 2016. http://dx.doi.org/10.1201/9781315380346.

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Lean for the healthcare professional. Boca Raton: Taylor & Francis/CRC Press, 2012.

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Standard work for lean healthcare. New York: Productivity Press, 2012.

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Stark, Cameron, Elaine Mead, and Maimie Thompson. International Examples of Lean in Healthcare. New York: Productivity Press, 2022. http://dx.doi.org/10.4324/9780429346958.

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Lean healthcare: Improving the patient's experience. Chichester, West Sussex: Kingsham Press, 2008.

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Book chapters on the topic "Lean healthcare"

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Torabi, S. Ali, Shirin Haddad Pour, and Nafiseh Shamsi G. "Lean Healthcare." In International Series in Operations Research & Management Science, 543–68. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-65455-3_21.

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Williams, Sharon J. "Lean in Healthcare." In Improving Healthcare Operations, 29–44. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-46913-3_3.

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Wickramasinghe, Nilmini. "Lean Principles for Healthcare." In Lean Thinking for Healthcare, 3–11. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-8036-5_1.

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Stark, Cameron, Elaine Mead, and Maimie Thompson. "Using Lean in Healthcare." In International Examples of Lean in Healthcare, 1–14. New York: Productivity Press, 2022. http://dx.doi.org/10.4324/9780429346958-1.

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Pyzdek, Thomas. "Lean Value Stream Design." In The Lean Healthcare Handbook, 41–61. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-69901-7_5.

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Helmold, Marc. "Lean Management in Healthcare Sector." In Lean Management and Kaizen, 155–59. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-46981-8_17.

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Alavi, Seyed Mohammad Seyedi, and Khin Than Win. "A Delphi Study on Developing a Conceptual Framework to Understand the Perception of Iranian Physicians Towards Electronic Health Records." In Lean Thinking for Healthcare, 169–86. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-8036-5_10.

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Muhammad, Imran, Say Yen Teoh, and Nilmini Wickramasinghe. "Trying to Streamline Healthcare Delivery in Australia via the Personally Controlled Electronic Health Record (PCEHR)." In Lean Thinking for Healthcare, 187–206. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-8036-5_11.

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Zwicker, Manuel, Juergen Seitz, and Nilmini Wickramasinghe. "Identifying Critical Issues for Developing Successful e-Health Solutions." In Lean Thinking for Healthcare, 207–24. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-8036-5_12.

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Wong, Sou Wei, and Nilmini Wickramasinghe. "Applying the Principles of KM to Effect Streamlined Healthcare Operations: A Malaysian Case Study." In Lean Thinking for Healthcare, 225–38. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-8036-5_13.

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Conference papers on the topic "Lean healthcare"

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Zepeda-Lugo, Carlos, Diego Tlapa, Yolanda Baez-Lopez, and Jorge Limon-Romero. "Critical Factors of Lean Healthcare." In the International Conference. New York, New York, USA: ACM Press, 2018. http://dx.doi.org/10.1145/3242789.3242837.

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McClean, Sally, Terry Young, Dave Bustard, Peter Millard, and Maria Barton. "Discovery of Value Streams for Lean Healthcare." In 2008 4th International IEEE Conference "Intelligent Systems" (IS). IEEE, 2008. http://dx.doi.org/10.1109/is.2008.4670412.

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SILVA, MARIANE FRANCIS SOUZA BEZERRA DA, BEATRIZ DE JESUS DOS SANTOS, CRISTIANE AGRA PIMENTEL, MICHELLE DE OLIVEIRA MENEZES, and GRACE KELLY SAMPAIO JUVENTINO. "Contribuições da Indústria 4.0 no Lean Healthcare." In ENEGEP 2020 - Encontro Nacional de Engenharia de Produção. ENEGEP 2020 - Encontro Nacional de Engenharia de Produção, 2020. http://dx.doi.org/10.14488/enegep2020_tn_sto_342_1751_39590.

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BORDÓN, JADE DE SOUZA, CARLOS HENRIQUE PEREIRA MELLO, and JOSÉ ANTONIO DE QUEIROZ. "LEAN HEALTHCARE EM HOSPITAIS: UMA ANÁLISE BIBLIOMÉTRICA." In ENEGEP 2020 - Encontro Nacional de Engenharia de Produção. ENEGEP 2020 - Encontro Nacional de Engenharia de Produção, 2020. http://dx.doi.org/10.14488/enegep2020_tn_sto_342_1751_40421.

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Soliman-Junior, Joao, Patricia Tzortzopoulos, and Mike Kagioglou. "Exploring Mistakeproofing in Healthcare Design." In 28th Annual Conference of the International Group for Lean Construction (IGLC). International Group for Lean Construction, 2020. http://dx.doi.org/10.24928/2020/0034.

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Zimmerman, Gregory R. "Lean Hospitals: Healthcare Administrators v. Manufacturing Managers to the Rescue." In Annual Global Healthcare Conference. Global Science & Technology Forum (GSTF), 2014. http://dx.doi.org/10.5176/2251-3833_ghc14.30.

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MICHELS, EVERTON, AMANDA GUNDES DE ALMEIDA, ALISSA EMANUELI CABRERA FUMAGALI, FERNANDO ANTONIO FORCELLINI, and GUILHERME LUZ TORTORELLA. "Características de liderança lean na implementação de lean healthcare: uma análise bibliográfica." In ENEGEP 2018 - Encontro Nacional de Engenharia de Produção. ENEGEP 2018 - Encontro Nacional de Engenharia de Produção, 2018. http://dx.doi.org/10.14488/enegep2018_tn_wpg_264_518_35709.

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Gruska, Clarissa, and Mariana Lima. "LEAN THINKING E LEAN DESIGN EM PROJETOS DE EDIFICAÇÕES HOSPITALARES." In XVIII ENCONTRO NACIONAL DE TECNOLOGIA DO AMBIENTE CONSTRUÍDO. UFRGS, 2020. http://dx.doi.org/10.46421/entac.v18i.1232.

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A filosofia lean thinking, oriunda do Sistema Toyota de Produção, tem como objetivo eliminar desperdícios e adicionar valor ao cliente. Inicialmente implementada na manufatura, esta extrapolou o ambiente fabril, atingindo o ambiente hospitalar, dentre outras operações. Entretanto, além do uso nos serviços de saúde, o conceito lean pode ser empregado em projetos de arquitetura, o chamado lean design. Este, menos difundido e utilizado em relação ao uso em serviços e operações, o que nos motivou a explorar o tema. O presente artigo tem como objetivo investigar e apresentar as formas de utilização do lean thinking e lean design em hospitais através de uma revisão sistemática da literatura. Como problema de pesquisa tem-se a relação da complexidade dos projetos de hospitais, os quais comumente apresentam erros que prejudicam o fluxo das atividades projetuais. Desta forma pretendemos responder as seguintes questões: Como o lean design auxilia o desenvolvimento de projetos de hospitais? e Como o serviço e o projeto do edifício podem ser mais integrados? Através da busca no Portal de Períodicos da CAPES utilizando os termos Lean thinking in healthcare, Lean in healthcare e hospital design AND Lean tools, foram selecionados 15 artigos, os quais contemplavam os requisitos desejados: abordar diretamente no resumo a aplicação do lean thinking ou lean design em hospitais com suas ferramentas de implantação.
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Zanin, Tiziano, Emanuela Anelli, and Pamela Simondo. "Lean Healthcare: Application of the Lean Techniques and “Case Management” to Network Services in a Reorganization of the Cyto-Histopathology Laboratory within the Diagnostic Service Department with Equal." In Annual Global Healthcare Conference. Global Science and Technology Forum (GSTF), 2012. http://dx.doi.org/10.5176/2251-3833_ghc12.25.

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DREI, SAMUEL MARTINS, and PAULO SÉRGIO DE ARRUDA IGNÁCIO. "AVALIAÇÃO DE UM PROCEDIMENTO SISTEMÁTICO PARA O LEAN HEALTHCARE." In ENEGEP 2019 - Encontro Nacional de Engenharia de Produção. ENEGEP 2019 - Encontro Nacional de Engenharia de Produção, 2019. http://dx.doi.org/10.14488/enegep2019_tn_sto_293_1656_37759.

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Reports on the topic "Lean healthcare"

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Kang, Keebom, and Uday M. Apte. Lean Six Sigma in Healthcare: Combating the Military's Escalating Pharmacy Costs. Fort Belvoir, VA: Defense Technical Information Center, April 2009. http://dx.doi.org/10.21236/ada529466.

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McDermott, Olivia, and Antony Jiju. Lean Six Sigma as an enabler for Healthcare Operational Excellence in COVID-19. Purdue University, 2021. http://dx.doi.org/10.5703/1288284317340.

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Harder, Ben Harder. What Philanthropy Can Learn from Healthcare Benchmarking. New York, New York USA: Guidestar by Candid, February 2020. http://dx.doi.org/10.15868/socialsector.35979.

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Herrera, Cristian, and Andy Oxman. Does integration of primary healthcare services improve healthcare delivery and outcomes? SUPPORT, 2017. http://dx.doi.org/10.30846/170411.

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Primary healthcare in many low- and middle-income countries is organised through vertical programmes for specific health problems such as tuberculosis control or childhood immunisation. Vertical programmes can help deliver particular technologies or services, but may lead to service duplication and fragmentation. To address such problems, the World Health Organization and other organizations promote integration, where inputs, delivery, management and organization of particular service functions are brought together. Integration may involve adding a service to an existing vertical programme or full integration of services within routine healthcare delivery.
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Herrera, Cristian, Andy Oxman, and Shaun Treweek. Does integration of primary healthcare services improve healthcare delivery and outcomes? SUPPORT, 2017. http://dx.doi.org/10.30846/1704112.

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Primary healthcare in many low- and middle-income countries is organised through vertical programmes for specific health problems such as tuberculosis control or childhood immunisation. Vertical programmes can help deliver particular technologies or services, but may lead to service duplication and fragmentation. To address such problems, the World Health Organization and other organizations promote integration, where inputs, delivery, management and organization of particular service functions are brought together. Integration may involve adding a service to an existing vertical programme or full integration of services within routine healthcare delivery.
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Ciapponi, Agustín. Does physician-led triage reduce emergency department overcrowding? SUPPORT, 2016. http://dx.doi.org/10.30846/1610112.

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Emergency department overcrowding is a serious problem facing healthcare systems worldwide that can lead to delays in time-sensitive diagnostic and treatment decisions and poor health outcomes. Triage systems are used to decide who needs urgent care and who can wait, sorting patients according to urgency or type of service required. They employ systems to prioritise or assign patients to treatment categories in order to assist in their management.
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Okwundu, Charles I., and Charles Shey Wiysonge. Which interventions improve the management of dual practice? SUPPORT, 2016. http://dx.doi.org/10.30846/160811.

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Dual practice in the healthcare setting refers to the holding of more than one job, in unrelated health facilities, by a health professional. In many low-income countries, low pay and difficult working conditions lead many health professionals in the public sector to add to their income by taking on private patients who pay for the services that they receive. Dual practice has both negative and positive consequences and there are concerns that its negative impacts may exceed the positive ones. By allowing public sector workers to supplement their income, it may be easier for the public health sector to keep their skilled workers. However, dual practice may also lead health professionals to spend less time in their public sector job; take time off without permission to work in their private positions; lower the quality of their services in the public sector in order to drive patients to their private practice; or take resources from their public sector workplace to use in their private sector jobs. Various interventions have been implemented to manage dual practice e.g. banning dual practice, regulating the number of hours that public sector workers are allowed to do private practice, regulating how much public sector workers are allowed to earn from private practice, salary increases and promotions for workers who agree to only work in the public sector, and allowing limited private practice within public facilities.
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Tull, Kerina. Social Inclusion and Immunisation. Institute of Development Studies (IDS), February 2021. http://dx.doi.org/10.19088/k4d.2021.025.

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The current COVID-19 epidemic is both a health and societal issue; therefore, groups historically excluded and marginalised in terms of healthcare will suffer if COVID-19 vaccines, tests, and treatments are to be delivered equitably. This rapid review is exploring the social and cultural challenges related to the roll-out, distribution, and access of COVID-19 vaccines, tests, and treatments. It highlights how these challenges impact certain marginalised groups. Case studies are taken from sub-Saharan Africa (the Democratic Republic of Congo, South Africa), with some focus on South East Asia (Indonesia, India) as they have different at-risk groups. Lessons on this issue can be learned from previous pandemics and vaccine roll-out in low- and mid-income countries (LMICs). Key points to highlight include successful COVID-19 vaccine roll-out will only be achieved by ensuring effective community engagement, building local vaccine acceptability and confidence, and overcoming cultural, socio-economic, and political barriers that lead to mistrust and hinder uptake of vaccines. However, the literature notes that a lot of lessons learned about roll-out involve communication - including that the government should under-promise what it can do and then over-deliver. Any campaign must aim to create trust, and involve local communities in planning processes.
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Martin, Matthew, Jo Walker, Kwesi W. Obeng, and Christian Hallum. The West Africa Inequality Crisis: Fighting austerity and the pandemic. Development Finance International, Oxfam, October 2021. http://dx.doi.org/10.21201/2021.8045.

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The COVID-19 pandemic has revealed and worsened the depth of inequality in West Africa. It has pushed millions into poverty. There is no end in sight due to the obscene global vaccine inequality, which means that less than 4% of West Africans had been fully vaccinated against COVID-19 as at September 2021, compared with 52% in the United States and 57% in the European Union. In 2021, when COVID-19 infections are rising in West Africa, the critical support health and socioeconomic programmes put in place by most governments in 2020 are being rolled back and replaced with austerity. Many governments are following advice from the IMF and World Bank, reminiscent of the severe cuts in spending imposed under the structural adjustment policies of the 1980s and 1990s. However, as this paper argues, the pandemic offers West African governments a once-in-a-generation opportunity to invest heavily in inequality-busting policies by boosting public spending (especially on healthcare, education and social protection), making tax systems more progressive, and tackling joblessness and precarious work. This report uses the Commitment to Reducing Inequality Index (CRII) framework devised by Oxfam and Development Finance International to assess the policies of West African governments. Visit the CRI Index website to learn more: www.inequalityindex.org.
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Papí-Gálvez, Natalia, and Daniel La Parra-Casado. Informe 2022. Càtedra de Bretxa Digital Generacional. Les persones majors en l’era de la digitalització a la Comunitat Valenciana (Dades 2021). Càtedra de Bretxa Digital Generacional, 2022. http://dx.doi.org/10.14198/bua.2022.papi.infv.

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The Research Chair in the Generational Digital Divide undertakes activities aimed at furthering knowledge about the causes, consequences and solutions to the digital divides caused by age gaps. This report shows the research project carried out in 2021 to learn more about how the digital divide affects over 54s living in the Valencia Region, by province, with a focus on intergenerational relationships. To this end, an exploratory survey targeted at over 54s years old and over 39s years old in the Valencia Region, based on primary sources and combining quantitative and qualitative techniques, has been conducted. The data reveals that, while a large percentage of over 54s declare that they have access to and are users of new technologies, much remains to be done for access and usage to become universal, especially at older ages. The report analyses how technology is used, considering its purpose and context, according to age and other significant variables. Differences in technology usage have been found across age groups and between women and men. The report contains information on, among other relevant aspects, online services, and especially on e-banking, the healthcare system and e-administration. Differences between age groups have been found for all indicators, shedding light on intergenerational relationships within the family that are crucial for older people. The Research Chair is an initiative by the Valencia Region Government’s Directorate General for the Fight Against the Digital Divide and stems from the collaboration between the Regional Department for Innovation, Science, Universities and Digital Society and the University of Alicante.
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