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    Assessing the Impact of Lean Healthcare on Inpatient Care: A Systematic Review

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    Author
    Zepeda-Lugo, C; Tlapa, D; Baez-Lopez, Y; Limon-Romero, J; Ontiveros, S; Perez-Sanchez, A; Tortorella, G
    Date
    2020-08-01
    Source Title
    International Journal of Environmental Research and Public Health
    Publisher
    MDPI
    University of Melbourne Author/s
    Tortorella, Guilherme
    Affiliation
    Mechanical Engineering
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Zepeda-Lugo, C., Tlapa, D., Baez-Lopez, Y., Limon-Romero, J., Ontiveros, S., Perez-Sanchez, A. & Tortorella, G. (2020). Assessing the Impact of Lean Healthcare on Inpatient Care: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 17 (15), https://doi.org/10.3390/ijerph17155609.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/251750
    DOI
    10.3390/ijerph17155609
    Open Access at PMC
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7432925
    Abstract
    Healthcare services are facing challenges in increasing their efficiency, quality of care, and coping with surges in demand. To this end, some hospitals have implemented lean healthcare. The aim of this systematic review is to evaluate the effects of lean healthcare (LH) interventions on inpatient care and determine whether patient flow and efficiency outcomes improve. The review was performed according to PRISMA. We used six databases to search for studies published from 2002 to 2019. Out of 5732 studies, 39 measuring one or more defined outcomes were included. Hospital length of stay (LOS) was measured in 23 studies, 16 of which reported a reduction, turnover time (TOT) decreased in six out of eight studies, while the turnaround time (TAT) and on-time starts (OTS) improved in all five and seven studies, respectively. Moreover, eight out of nine studies reported an earlier discharge time, and the boarding time decreased in all four cases. Meanwhile, the readmission rate did not increase in all nine studies. Lastly, staff and patient satisfaction improved in all eight studies. Our findings show that by focusing on reducing non-value-added activities, LH contributed to improving patient flow and efficiency within inpatient care.

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