ArticleBMJ quality & safety2013
Hospital workers' perceptions of waste: a qualitative study involving photo-elicitation.
Article in BMJ quality & safety, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- The management of healthcare-related infections through lean methodology: systematic review and meta-analysis of observational studies.Journal of preventive medicine and hygiene · 2022Pooled it
- A Qualitative Study of Health Workers' Experiences During Early Surges in the COVID-19 Pandemic in the U.S.: Implications for Ongoing Occupational Health Challenges.Frontiers in public health · 2022Article
- 'No Pink Ribbons': How Women's Lived Experiences With Breast Atypia Inform Decisions Involving Risk-Reducing Medications.Journal of patient-centered research and reviews · 2018Article
- A focus group based study of the perspectives of the Maltese population and healthcare professionals on medication wastage.International journal of clinical pharmacy · 2016Article
- Health care employee perceptions of patient-centered care.Qualitative health research · 2015Article
- Mobile applications for participation at the shopping mall: content analysis and usability for persons with physical disabilities and communication or cognitive limitations.International journal of environmental research and public health · 2014Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesTo elicit sources of waste as viewed by hospital workers.
designQualitative study using photo-elicitation, an ethnographic technique for prompting in-depth discussion.
settingU.S. academic tertiary care hospital.
participantsPhysicians, nurses, pharmacists, administrative support personnel, administrators and respiratory therapists.
methodsA purposive sample of personnel at an academic tertiary care hospital was invited to take up to 10 photos of waste. Participants discussed their selections using photos as prompts during in-depth interviews. Transcripts were analysed in an iterative process using grounded theory; open and axial coding was performed, followed by selective and thematic coding to develop major themes and subthemes.
resultsTwenty-one participants (nine women, average number of years in field=19.3) took 159 photos. Major themes included types of waste and recommendations to reduce waste. Types of waste comprised four major categories: Time, Materials, Energy and Talent. Participants emphasised time wastage (50% of photos) over other types of waste such as excess utilisation (2.5%). Energy and Talent were novel categories of waste. Recommendations to reduce waste included interventions at the micro-level (eg, individual/ward), meso-level (eg, institution) and macro-level (eg, payor/public policy).
conclusionsThe waste hospital workers identified differed from previously described waste both in the types of waste described and the emphasis placed on wasted time. The findings of this study represent a possible need for education of hospital workers about known types of waste, an opportunity to assess the impact of novel types of waste described and an opportunity to intervene to reduce the waste identified.
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