Lean Management: organizational innovations in hematological Day-Hospitals

AboutOpen

View Publication Info
 
 
Field Value
 
Title Lean Management: organizational innovations in hematological Day-Hospitals
 
Creator Bianciardi, Caterina
Guercini, Jacopo
 
Description Background. Lean Thinking is a management method which, despite its industrial origins, has spread in health-care environment too.
Objective. To describe the path followed and the results reached implementing Lean Thinking in four case studies. 
Methods. Such case studies were conducted in as many hematological Day-Hospitals (DHs), located in Central-Italy. At the beginning of each study, the DH internal processes, activity volumes and patient flows were analyzed and satisfaction questionnaires were administered to both operators and patients. Based on the returned questionnaires, deficiencies were focused on; for each deficiency data was collected and objectives defined. Following such definitions, analysis of inefficiency causes was performed and countermeasures were identified. In the final meeting the results were assessed and monitoring/maintenance methods were defined. All these steps were supported by Lean Thinking instruments for analysis and solution.        
Results. Activity organization and patient satisfaction improved everywhere. Time losses and workloads imbalances were minimized in two DHs, particularly through higher standardization in the management of clinical-administrative documents. In another DH, the output capacity of the hospital pharmacy and the workflows in DH were aligned with respect to the course of the day, so reducing delays in the delivery of therapies.  Appointment planning was improved in the fourth DH, standardizing time slots (15-minutes) necessary for each therapy, so optimizing the number of beds and chairs used.
Conclusions. Poor management of health care facilities can affect efficiency, security and quality of services provided. Lean Thinking is a valid method to address such problems.   
(HTA & Market Access) 
 
Publisher Aboutscience Srl
 
Date 2019-06-27
 
Type info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Original Research Article
 
Format application/pdf
text/html
application/epub+zip
 
Identifier https://journals.aboutscience.eu/index.php/aboutopen/article/view/290
10.33393/abtpn.2019.290
 
Source AboutOpen; V. 6 N. 1 (2019): January - December 2019; 62-69
AboutOpen; Vol 6 No 1 (2019): January - December 2019; 62-69
2465-2628
 
Language eng
 
Relation https://journals.aboutscience.eu/index.php/aboutopen/article/view/290/255
https://journals.aboutscience.eu/index.php/aboutopen/article/view/290/256
https://journals.aboutscience.eu/index.php/aboutopen/article/view/290/257
 
Rights Copyright (c) 2019 The Authors
http://creativecommons.org/licenses/by-nc-nd/4.0
 

Contact Us

The PKP Index is an initiative of the Public Knowledge Project.

For PKP Publishing Services please use the PKP|PS contact form.

For support with PKP software we encourage users to consult our wiki for documentation and search our support forums.

For any other correspondence feel free to contact us using the PKP contact form.

Find Us

Twitter

Copyright © 2015-2018 Simon Fraser University Library