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Implementation of Lean Management in a Multi-Specialist Hospital in Poland and the Analysis of Waste

Author

Listed:
  • Agnieszka Zdęba-Mozoła

    (Department of Management and Logistics in Healthcare, Medical University of Lodz, 6 Lindleya Street, 90-131 Lodz, Poland)

  • Anna Rybarczyk-Szwajkowska

    (Department of Management and Logistics in Healthcare, Medical University of Lodz, 6 Lindleya Street, 90-131 Lodz, Poland)

  • Tomasz Czapla

    (Department of Management, Faculty of Management, University of Lodz, 90-237 Lodz, Poland)

  • Michał Marczak

    (Department of Management and Logistics in Healthcare, Medical University of Lodz, 6 Lindleya Street, 90-131 Lodz, Poland)

  • Remigiusz Kozłowski

    (Centre for Security Technologies in Logistics, Faculty of Management, University of Lodz, 90-237 Lodz, Poland)

Abstract

At the beginning of the 21st century, Lean Management (LM) tools were introduced into the healthcare sector around the world. In Poland, there are still few LM implementations, and they are not of a comprehensive nature. The aim of this article is to present the application of the LM concept in a hospital in Poland as a tool for the identification and analysis of waste and its impact on the process of organizing the provision of medical services on the example of improvements in the process of patient admission. In the period from 1 July 2019 to 31 December 2019, a project of LM implementation was carried out at the Provincial Specialist Hospital in Wroclaw. The project was based on the method of value-stream mapping and 5Why. Standardized interviews (before and after the project) were conducted with people from the hospital management and middle-level managers. The implementation of LM tools resulted in the identification of a number of wastes, which have been divided into groups. The most important waste was paper medical documentation. Its change to an electronic form allowed for a better use of human capital resources; savings included 2.3 nursing positions and 1.09 medical staff positions.

Suggested Citation

  • Agnieszka Zdęba-Mozoła & Anna Rybarczyk-Szwajkowska & Tomasz Czapla & Michał Marczak & Remigiusz Kozłowski, 2022. "Implementation of Lean Management in a Multi-Specialist Hospital in Poland and the Analysis of Waste," IJERPH, MDPI, vol. 19(2), pages 1-23, January.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:2:p:800-:d:722674
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    References listed on IDEAS

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    1. Wallace J. Hopp, 2018. "Positive lean: merging the science of efficiency with the psychology of work," International Journal of Production Research, Taylor & Francis Journals, vol. 56(1-2), pages 398-413, January.
    2. Carlos Zepeda-Lugo & Diego Tlapa & Yolanda Baez-Lopez & Jorge Limon-Romero & Sinue Ontiveros & Armando Perez-Sanchez & Guilherme Tortorella, 2020. "Assessing the Impact of Lean Healthcare on Inpatient Care: A Systematic Review," IJERPH, MDPI, vol. 17(15), pages 1-24, August.
    3. Luciano Brandão de Souza & Michael Pidd, 2011. "Exploring the barriers to lean health care implementation," Public Money & Management, Taylor & Francis Journals, vol. 31(1), pages 59-66, January.
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    Cited by:

    1. Agnieszka Zdęba-Mozoła & Remigiusz Kozłowski & Anna Rybarczyk-Szwajkowska & Tomasz Czapla & Michał Marczak, 2023. "Implementation of Lean Management Tools Using an Example of Analysis of Prolonged Stays of Patients in a Multi-Specialist Hospital in Poland," IJERPH, MDPI, vol. 20(2), pages 1-23, January.
    2. Pilar I. Vidal-Carreras & Julio J. Garcia-Sabater & Juan A. Marin-Garcia, 2022. "Applying Value Stream Mapping to Improve the Delivery of Patient Care in the Oncology Day Hospital," IJERPH, MDPI, vol. 19(7), pages 1-18, April.
    3. Emanuel George Mesteru, 2025. "Sustainability in the Management of the Private Medical Sector in Romania: A European, USA and Japan Comparison," Sustainability, MDPI, vol. 17(12), pages 1-27, June.
    4. Małgorzata Cygańska & Magdalena Kludacz-Alessandri, 2024. "Energy Consumption Trends and Determinants in Polish Hospitals: Implications for Energy Efficiency Strategies," Sustainability, MDPI, vol. 16(21), pages 1-17, October.

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