Lean interventions in healthcare: do they actually work? A systematic literature review.

摘要: Purpose: Lean is a widely used quality improvement methodology initially developed and in the automotive manufacturing industries but recently expanded to healthcare sector. This systematic literature review seeks independently assess effect of or interventions on worker patient satisfaction, health process outcomes, financial costs. Data sources: We conducted Medline, PubMed, Cochrane Library, CINAHL, Web Science, ABI/Inform, ERIC, EMBASE SCOPUS. Study selection: Peer reviewed articles were included if they examined intervention quantitative data. Methodological was assessed using validated critical appraisal checklists. Publically available data collected by Saskatchewan Health Quality Council Union Nurses also analysed reported separately. extraction: design, methods, key outcomes extracted collated. Results synthesis: Our electronic search identified 22 that passed methodological review. Among accepted studies, 4 exclusively concerned with 3 both 15 outcomes. study found have: (i) no statistically significant association satisfaction outcomes; (ii) negative costs (iii) potential, yet inconsistent, benefits like flow safety. Conclusion: While some may strongly believe lead improvements healthcare, evidence date simply does not support this claim. More rigorous, higher better scientific research required definitively ascertain impact effectiveness settings.