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dc.contributor.authorTlapa, D
dc.contributor.authorZepeda-Lugo, CA
dc.contributor.authorTortorella, GL
dc.contributor.authorBaez-Lopez, YA
dc.contributor.authorLimon-Romero, J
dc.contributor.authorAlvarado-Iniesta, A
dc.contributor.authorRodriguez-Borbon, M
dc.date.accessioned2020-11-27T00:56:12Z
dc.date.available2020-11-27T00:56:12Z
dc.date.issued2020-02-01
dc.identifierpii: S1098-3015(19)35217-9
dc.identifier.citationTlapa, D., Zepeda-Lugo, C. A., Tortorella, G. L., Baez-Lopez, Y. A., Limon-Romero, J., Alvarado-Iniesta, A. & Rodriguez-Borbon, M. (2020). Effects of Lean Healthcare on Patient Flow: A Systematic Review. VALUE IN HEALTH, 23 (2), pp.260-273. https://doi.org/10.1016/j.jval.2019.11.002.
dc.identifier.issn1098-3015
dc.identifier.urihttp://hdl.handle.net/11343/252646
dc.description.abstractOBJECTIVES: To assess the effects of lean healthcare (LH) on patient flow in ambulatory care and determine whether waiting time and length of stay (LOS) decrease after LH interventions. METHODS: A systematic review was performed with close adherence to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We searched for studies of healthcare organizations applying LH interventions within ambulatory care published between 2002 and 2018. Six databases and grey literature sources were used. Two reviewers independently screened and assessed each study. When consensus was difficult to reach, a third reviewer intervened. Finally, a summary of findings was generated. RESULTS: Out of 5627 studies, 40 were included. Regarding LOS for all patients, 19 out of 22 studies reported a decrease. LOS for discharged patients decreased in 11 out of 13 studies, whereas LOS for admitted patients was reduced in 6 out of 7 studies. Waiting time for patients before seeing a healthcare professional decreased in 24 out of 26 studies. Waiting time to treatment and waiting time for appointments were minimized in 4 and 2 studies, respectively. Patients who left without being seen by a doctor decreased in 9 out of 12 studies. Finally, patient and staff satisfaction were measured in 8 and 2 studies, respectively, with each reporting improvements. CONCLUSIONS: According to our findings, LH helped to reduce waiting time and LOS in ambulatory care, mainly owing to its focus on identifying and minimizing non-value added (NVA) activities. Nevertheless, evidence of the impact of LH on patient/staff satisfaction and the translation of the obtained benefits into savings is scarce among studies.
dc.languageEnglish
dc.publisherELSEVIER SCIENCE INC
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0
dc.titleEffects of Lean Healthcare on Patient Flow: A Systematic Review
dc.typeJournal Article
dc.identifier.doi10.1016/j.jval.2019.11.002
melbourne.affiliation.departmentMechanical Engineering
melbourne.source.titleValue in Health
melbourne.source.volume23
melbourne.source.issue2
melbourne.source.pages260-273
dc.rights.licensecc-by-nc-nd
melbourne.elementsid1474111
melbourne.contributor.authorLuz Tortorella, Guilherme
dc.identifier.eissn1524-4733
melbourne.accessrightsOpen Access


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