ReviewBulletin of emergency and trauma2019
Features and Results of Conducted Studies Using a Lean Management Approach in Emergency Department in Hospital: A Systematic Review.
Review in Bulletin of emergency and trauma, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A framework to guide the implementation of lean management in emergency department.Journal of health organization and management · 2021Pooled it
- The outcomes of Lean management in a large academic hospital in Finland in 2018-2023: a qualitative study.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2026Article
- Improving Emergency Department Staff Satisfaction Through Lean Thinking: Evidence From a Mixed Study.Journal of nursing management · 2026Article
- Strategies for optimising health system managers' engagement in quality improvement projects: lessons learnt from the COMPAS+ project.BMJ open quality · 2025Article
- 6S management project to improve workplace productivity in Primary Health Centre in India.BMC health services research · 2025Article
- The maturity of lean management in a large academic medical center in Finland: a qualitative study.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024Article
- Enhancing Hospital Pharmacy Operations Through Lean and Six Sigma Strategies: A Systematic Review.Cureus · 2024Review
- Decision-maker roles in healthcare quality improvement projects: a scoping review.BMJ open quality · 2024Article
- Road to Better Work-Life Balance? Lean Redesigns and Daily Work Time among Primary Care Physicians.Journal of general internal medicine · 2022Observational
- Lean six sigma in the healthcare sector: A systematic literature review.Materials today. Proceedings · 2022Article
- Aligning implementation science with improvement practice: a call to action.Implementation science communications · 2021Article
- Lean Healthcare Tools for Processes Evaluation: An Integrative Review.International journal of environmental research and public health · 2021Review
- Strategies to measure and improve emergency department performance: a scoping review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2020Article
- Healthcare Engineering: A Lean Management Approach.Journal of healthcare engineering · 2020Article
- An integrated approach for designing in-time and economically sustainable emergency care networks: A case study in the public sector.PloS one · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo perform a systematic review of the properties and results of the studies that their approaches are lean management in emergency departments and the factors which influence on their performance.
methodThe necessary information in the first stage was collected by searching these keywords: "Lean principles" "Lean Six Sigma", "Lean Process", "Lean thinking", "Lean Methodology", "Toyota Production System lean processing", "lean techniques", "emergency department", "emergency medicine", "emergency room" and "emergency care " . And in the next stage the keywords such as "lean management" and "emergency" was collected from SID, Medlib, IranDoc, Google Scholar, MagIran, IranMedex data bases. For extracting the data data-extracting forms was prepared. The information we got from the forms was organized in information-extracting forms and was analyzed manually. The diagrams were drawn in Excel: 2010.
resultsFinally, 26 essays have been included. Most of the studies were accomplished in Canada and U.S.A. only in one of the cases, the authors used the control group. Each of these terms, "lean techniques" and "lean principals", with five times repetitions had the highest frequency. The most important team of implementation of lean management included: hospital management team or the manager of Emergency department, physicians, nurses, staffs and external counselors. Generally, 51 indicators were studied which among them the length of stay and the timing had the most frequency. After implementation of lean management, almost all studied indicators have significantly improved. 14 barriers, 14 facilitators and 10 effective factors were recognized in implementing the lean management.
conclusionAccording to the studies, responsibility of organization's senior management and his/her supports; increasing the knowledge of the characteristics and dimension of lean among the providers of health service; and decreasing the resistance and consulting with external counselors can have great effect on the success of lean management.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.