Literature DB >> 17219493

Lean health care: what can hospitals learn from a world-class automaker?

Christopher S Kim1, David A Spahlinger, Jeanne M Kin, John E Billi.   

Abstract

BACKGROUND: With health care costs continuing to rise, a variety of process improvement methodologies have been proposed to address the reported inefficiencies in health care delivery. Lean production is one such method. The management philosophy and tools of lean production come from the manufacturing industry, where they were pioneered by Toyota Motor Corporation, which is viewed as the leader in utilizing these performance improvement methods. Lean has already enjoyed tremendous success in improving quality and efficiency in both the manufacturing and the service sector industries.
RESULTS: Health care systems have just begun to utilize lean methods, with reports of improvements just beginning to appear in the literature. We describe some of the basic philosophy and principles of lean production methods and how these concepts can be applied in the health care environment. We describe some of the early success stories and ongoing endeavors of lean production in various health care organizations. We believe the hospital is an ideal setting for use of the lean production method, which could significantly affect how health care is delivered to patients.
CONCLUSIONS: We conclude by discussing some of the potential challenges in introducing and implementing lean production methods in the health care environment. Lean production is a novel approach to delivering high-quality and efficient care to patients, and we believe that the health care sector can anticipate the same high level of success that the manufacturing and service industries have achieved using this approach. Hospitalists are primed to take action in delivering care of greater quality with more efficiency by applying these new principles in the hospital setting. (c) 2006 Society of Hospital Medicine.

Entities:  

Mesh:

Year:  2006        PMID: 17219493     DOI: 10.1002/jhm.68

Source DB:  PubMed          Journal:  J Hosp Med        ISSN: 1553-5592            Impact factor:   2.960


  35 in total

1.  Aqueductal stenosis and Parinaud's syndrome.

Authors:  B Azar-Kia; E Palacios; R Churchill
Journal:  IMJ Ill Med J       Date:  1975-11

2.  Mathematical modeling to reduce waste of compounded sterile products in hospital pharmacies.

Authors:  Vera Tilson; Gregory Dobson; Curtis E Haas; David Tilson
Journal:  Hosp Pharm       Date:  2014-07

Review 3.  Integrating hospital administrative data to improve health care efficiency and outcomes: "the socrates story".

Authors:  Justin Lawrence; Conor P Delaney
Journal:  Clin Colon Rectal Surg       Date:  2013-03

4.  Clinical practice audit concerning antimicrobial prophylaxis in paediatric neurosurgery: results from a German paediatric oncology unit.

Authors:  Katja Weiss; Arne Simon; Norbert Graf; Jakob Schöpe; Joachim Oertel; Stefan Linsler
Journal:  Childs Nerv Syst       Date:  2016-11-07       Impact factor: 1.475

5.  Hospital capacity planning: from measuring stocks to modelling flows.

Authors:  Bernd Rechel; Stephen Wright; James Barlow; Martin McKee
Journal:  Bull World Health Organ       Date:  2010-08-01       Impact factor: 9.408

6.  Utilization of Portable Radios to Improve Ophthalmology Clinic Efficiency in an Academic Setting.

Authors:  Alexander S Davis; Ahmed M Elkeeb; Gianmarco Vizzeri; Bernard F Godley
Journal:  J Med Syst       Date:  2015-12-22       Impact factor: 4.460

7.  Percentage of US emergency department patients seen within the recommended triage time: 1997 to 2006.

Authors:  Leora I Horwitz; Elizabeth H Bradley
Journal:  Arch Intern Med       Date:  2009-11-09

Review 8.  Measuring quality of surgical care: is it attainable?

Authors:  Kevin C Chung; Rod J Rohrich
Journal:  Plast Reconstr Surg       Date:  2009-02       Impact factor: 4.730

9.  The combined positive impact of Lean methodology and Ventana Symphony autostainer on histology lab workflow.

Authors:  Lewis A Hassell; Crystal F Glass; Clinton Yip; Patricia A Eneff
Journal:  BMC Clin Pathol       Date:  2010-02-08

Review 10.  Utilization of lean management principles in the ambulatory clinic setting.

Authors:  Jessica T Casey; Thomas S Brinton; Chris M Gonzalez
Journal:  Nat Clin Pract Urol       Date:  2009-03
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