Lean design improves both health-care facilities and processes: a literature review

Abstract

This article presents a literature review of the challenges and possibilities for Lean design in modern health-care facilities. Many of today's health-care facilities are in dire need of renovation since limited financial resources among health-care demand improved work process efficiency, safety and employee well-being. Lean philosophy has been successfully implemented into hospitals with up-and-running hospital processes, but has not been thoroughly tested as a design methodology. The principles of Lean do not contradict with user-centric, participatory or ergonomic design approaches and thus the possibilities of using Lean as a complementary design methodology to the aforementioned approaches are discussed in this article. Lean fundamentals are also useful when dealing with change management issues. Lean offers a fundamentally solid ideology and a wide range of toolsmany of which seem fitting to solve several urgent design problems in today's health-care design.

Protocol: Value Stream Maping in Healthcare. A systematic literature review

“…Por un lado, simplificaremos quitando redundancias y usando operadores de proximidad (NEAR/WITHIN) o truncamiento (*). Por otro, incorporaremos sinónimos de otras revisiones (Aloini et al, 2018;Nowak et al, 2017;Reijula et al, 2014) para evitar falsos positivos.…”

“…En WOS quedaría como: TS= (((health* OR care OR medical OR nursing) NEAR/3 (system* OR institution* OR organisation* OR organization* OR facilit* OR Social OR setting* OR enterprise OR service* OR social OR centers OR department*)) OR (Physician* or doctor) NEAR/3 (clinic or Office) OR surgery OR "clinical operation" OR "operating rooms" OR "SURGICAL clinics" OR "emergency room" OR pharmacy OR hospital OR hospitals OR clinic* OR "tertiary care" OR "primary care" OR "secondary care" OR "emergency department" OR (home NEAR/2 (retirement OR nursing OR "old people's" OR "senior-citizens" OR disabled OR handicap*))) La misma estrategia en versión SCOPUS quedaría: ( TITLE-ABS-KEY ( ( health* OR care OR medical OR nursing ) W/3 ( system* OR institution* OR organisation* OR organization* OR facilit* OR social OR setting* OR enterprise OR service* OR social OR centers OR department* ) ) ) OR ( TITLE-ABS-KEY ( ( physician* OR doctor ) W/3 ( clinic OR office ) ) ) OR ( TITLE-ABS-KEY ( surgery OR "clinical operation" OR "operating rooms" OR "SURGICAL clinics" OR "emergency room" OR pharmacy OR hospital OR hospitals OR clinic* OR "tertiary care" OR "primary care" OR "secondary care" OR "emergency department" ) ) OR ( TITLE-ABS-KEY ( ( home W/2 ( retirement OR nursing OR "old people's" OR "senior-citizens" OR disabled OR handicap* ) ) ) ) La segunda cadena acota los trabajos relacionados con VSM. Para ello, planteamos una estrategia mejorada respecto la usada en trabajos anteriores (Nowak et al, 2017;Reijula et al, 2014;Vidal-Carreras et al, 2015). En ella eliminamos redundancias y aprovechamos el potencial de operadores de proximidad (NEAR/WITHIN) o truncamiento (*).…”

Participative Facility Planning for Obstetrical and Neonatal Care Processes: Beginning of Life Process

“…The premises used for different functions of the same process can be scattered around the hospital, a far cry from seamless patient care. Planning a new hospital presents a unique opportunity to address this issue [1]. …”

A Case Study of Three Swedish Hospitals’ Strategies for Implementing Lean Production

“…Implementation strategies can here be defined as managerial choices (Velcu 2010) of how to apply LP in the organization. It has been argued that principles and challenges of change management need to be dealt with if the aim of LP includes organizational culture changes (Reijula et al 2014). Examples of implementation strategies for this kind of change management are the hospital's strategies for choosing implementation leaders (Oreg et al 2011), involving employees in the implementation, dealing with different stakeholders' interests, and choosing the appropriate form and style for informing and educating workers (Damschroder et al 2009).…”