Application of lean healthcare in hospital services: a review of the literature (2007 to 2017)

Abstract Paper aims The demand for quality health services is increasing and the efficiency in hospitals is related to the continued improvement in their processes and services. Faced with this problem, this study aimed to perform a literature review of the application of lean health care to hospital services. Originality Link between theory and practice, helping health professionals in their routine. Research method The concepts of bibliometrics were used. The databases that make up the sample are ISI Web of Science, Scopus, Lilacs, PubMed, and Cinahl; all the articles were in the ISI Web of Science database. Main findings The analyses suggest that the continuous improvement in processes and in the quality of the services offered are factors that influence the development of teams concerned with patient safety. Implications for theory and practice Shows the results and difficulties encountered by hospitals with the implementation of lean methodologies.

摘要 研究目标
优质医疗服务的需求持续增长，医院的运营效率与其流程与服务的持续优化密不可分。针对这一现状，本研究旨在针对精益医疗（Lean Health Care）在医院服务中的应用开展系统性文献综述。
原创性
搭建理论与实践的联结纽带，为医疗专业人员的日常工作提供切实助力。
研究方法
本研究采用文献计量学相关分析方法。样本涵盖的数据库包括ISI Web of Science、Scopus、Lilacs、PubMed及Cinahl；所有纳入分析的文章均来自ISI Web of Science数据库。
主要研究结果
分析结果表明，流程与所提供服务质量的持续优化，是影响关注患者安全的医护团队发展的核心因素。
理论与实践启示
展示了医院在推行精益方法论过程中所取得的成果与遭遇的各类困难。