Lean readiness within emergency departments: a conceptual framework

Alnajem, Mohamad; Garza-Reyes, José Arturo; Antony, Jiju

doi:10.1108/bij-10-2018-0337

Cited by 35 publications

(53 citation statements)

References 73 publications

(178 reference statements)

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“…Many works of literature have suggested that lean is implemented and assessed in different service sectors. For example, Alnajem et al ( 2019 ), Hussain and Malik ( 2016 ), Agarwal et al ( 2016 ), and Robinson et al ( 2012 ) have implemented this study in different parts of a hospital such as emergency, cardiac catheterization laboratory, etc. Narayanamurthy et al ( 2017 ) and Thomas et al ( 2017 ) have implemented this in the higher educational institute sector to improve the course plan and to reduce absenteeism in class.…”

Section: Literature Reviewmentioning

confidence: 99%

Impact of lean service, workplace environment, and social practices on the operational performance of India post service industry

Vadivel

Sequeira

Sakkariyas³

et al. 2021

Ann Oper Res

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This paper aims to study the determinants of the Lean Service System (LSS) on the Operational Performance (OP) of India's mail service in the National Sorting Hub (NSH), Mangaluru, Karnataka, the southern part of India. Measuring the OP in mail service is a big challenge in the postal service industry. Hence, we have conducted a survey, and 150 usable data has measured the impact of Lean Service Practices (LSP), Lean Workplace Environment Practices (LWEP), and Lean Social Practices (LSoP) on the OP. The results are analyzed from the partial least square based structural equation modelling (PLS-SEM) with the support of R programming. The analysis shows that there is positive and significant impact of LSP ( β = 0.380, p < .05), followed by LWEP ( β = 0.281, p < .05), and LSoP ( β = 0.266, p < .05) on OP. The practical effect of the findings of LSS are effectively implemented for enhancing the OP of the business. This research addresses the appropriate empirical model to test LSS in India's postal service industry, which is scant in the existing literature. Moreover, this study helps India Post to review its policy so as to sustain the effectiveness of Lean Service (LS) implementation.

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Section: Literature Reviewmentioning

confidence: 99%

Impact of lean service, workplace environment, and social practices on the operational performance of India post service industry

Vadivel

Sequeira

Sakkariyas³

et al. 2021

Ann Oper Res

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“…The psychosocial work climate refers to a positive commitment of all staff and is negative when neglected, mainly due to its leadership. In the same vein, Alnajem et al [ 41 ] highlight the influence of senior management on encouraging positive relations between health professionals, patients, and suppliers. Multisdisciplinary reinforces improvement in Teamwork and standardization of activities.…”

Section: Research Problems Approaches and Applied Toolsmentioning

confidence: 99%

A Systematic Review on Lean Applications’ in Emergency Departments

et al. 2021

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This article presents the state of the art of Lean principles applied in Emergency Departments through a systematic literature review. Our article extends previous work found in the literature to respond to the following questions: (i) What research problems in emergency departments can Lean principles help overcome? (ii) What Lean approaches and tools are used most often in this environment? (iii) What are the results and benefits obtained by these practices? and (iv) What research opportunities appear as gaps in the current state of the art on the subject? A six-step systematic review was performed following the guidance of the PRISMA method. The review analysis identified six main research problems where Lean was applied in Emergency Departments: (i) High Waiting Time and High Length of Hospital Stay; (ii) Health Safety; (iii) Process redesign; (iv) Management and Lessons Learned; (v) High Patient Flow; (vi) Cost Analysis. The six research problems’ main approaches identified were Lean Thinking, Multidisciplinary, Statistics, and Six Sigma. The leading Lean tools and methodologies were VSM, Teamwork, DMAIC, and Kaizen. The main benefits of applying Lean Principles were (a) reductions in waiting time, costs, length of hospital stay, patient flow, and procedure times; and (b) improvements in patient satisfaction, efficiency, productivity, standardization, relationships, safety, quality, and cost savings. Multidisciplinary integration of managers and work teams often yields good results. Finally, this study identifies knowledge gaps and new opportunities to study Lean best practices in healthcare organizations.

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“…The following section explains the three phases of LSS implementation and sustainability roadmap for reducing medication errors. These three phases were developed based on the existing literature including Kumar et al (2011), Al-Balushi et al (2014, Antony et al (2016), Timans et al (2016), and Alnajem et al (2019).…”

Section: Lss Implementation and Sustainability Roadmap To Reduce Medication Errorsmentioning

confidence: 99%

“… Effective communication between healthcare practitioners and departments is crucial (Alnajem et al, 2019).  Effective communication entails top-down and bottom-up communication (Antony and Banuelas, 2002).…”

Section: Effective Communication At All Levelsmentioning

confidence: 99%

Lean Six Sigma implementation and sustainability roadmap for reducing medication errors in hospitals

Trakulsunti

Antony

Douglas

2020

TQM

Self Cite

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PurposeThe purpose of this study is to propose a Lean Six Sigma (LSS) roadmap to guide healthcare practitioners in the implementation of LSS along with a customized LSS tool kit for reducing medication errors.Design/methodology/approachThe authors initially critically reviewed several frameworks/roadmaps of Lean, Six Sigma and LSS which have been proposed in healthcare sector from the existing literature. This review has led to an understanding of key characteristics, limitations and reasons behind the development of such frameworks/roadmaps. A conceptual roadmap was developed and then validated by a number of LSS experts and a healthcare practitioner. Based on the previous studies and taking LSS experts’ opinions into account, a revised roadmap for reducing medication is presented.FindingsThe roadmap for LSS in reducing medication errors is developed. This roadmap includes three phases: Phase 1 cultural readiness for LSS employment in reducing medication errors; Phase 2 preparation, initialization and implementation; and Phase 3 sustainability.Research limitations/implicationsThe roadmap has been tested with only a handful of practitioners of LSS. Moreover, only two case studies have been carried out in a Thai hospital setting which followed the roadmap. In order to improve the validity of research, more case studies need to be executed and more people should be used for testing the roadmap with varied cultures.Originality/valueThis is the first attempt in the development of a LSS roadmap that healthcare practitioners can follow to reduce medication errors using LSS methodology and sustaining LSS in their organizations.

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Lean readiness within emergency departments: a conceptual framework

Cited by 35 publications

References 73 publications

Impact of lean service, workplace environment, and social practices on the operational performance of India post service industry

Impact of lean service, workplace environment, and social practices on the operational performance of India post service industry

A Systematic Review on Lean Applications’ in Emergency Departments

Lean Six Sigma implementation and sustainability roadmap for reducing medication errors in hospitals

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