ReviewHealthcare (Basel, Switzerland)2021
A Systematic Review on Lean Applications' in Emergency Departments.
Review in Healthcare (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
What it found
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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
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Enhancing emergency department care for individuals with autism spectrum disorder across the lifespan: a systematic review.Frontiers in health services · 2026Pooled it
- Emergency Medicine in South Africa: Progress, challenges, and future directions from a qualitative inquiry.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2026Article
- Clinician perspectives on blood culture practice and diagnostic stewardship in regional emergency departments.Journal of medical microbiology · 2026Article
- Improving Emergency Department Staff Satisfaction Through Lean Thinking: Evidence From a Mixed Study.Journal of nursing management · 2026Article
- Leveraging Kaizen with Process Mining in Healthcare Settings: A Conceptual Framework for Data-Driven Continuous Improvement.Healthcare (Basel, Switzerland) · 2025Article
- A SEIPS-Based Analysis to Understand Safety Culture During Postpartum Hemorrhage.Healthcare (Basel, Switzerland) · 2025Article
- A Mixed-Methods Analysis of Negative Patient Experiences in Emergency Department Care: Identifying Challenges and Evidence-Informed Strategies Across the Care Continuum.Journal of patient experience · 2025Article
- Operationalizing the Quintuple Aim of Health System Improvement Through Equity-Oriented Health Care.Health services insights · 2025Article
- Comprehensive Risk Analysis of Emergency Medical Response Systems in Serbian Healthcare: Assessing Systemic Vulnerabilities in Disaster Preparedness and Response.Healthcare (Basel, Switzerland) · 2024Article
- New horizons in systems engineering and thinking to improve health and social care for older people.Age and ageing · 2024Article
- Improving the emergency services using quality improvement project and Donabedian model in a quaternary teaching hospital in South India.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
- Modelling Granular Process Flow Information to Reduce Bottlenecks in the Emergency Department.Healthcare (Basel, Switzerland) · 2022Article
- Exosomes Derived From Mesenchymal Stem Cells: Novel Effects in the Treatment of Ischemic Stroke.Frontiers in neuroscience · 2022Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This article presents the state of the art of Lean principles applied in Emergency Departments through a systematic literature review. Our article extends previous work found in the literature to respond to the following questions: (i) What research problems in emergency departments can Lean principles help overcome? (ii) What Lean approaches and tools are used most often in this environment? (iii) What are the results and benefits obtained by these practices? and (iv) What research opportunities appear as gaps in the current state of the art on the subject? A six-step systematic review was performed following the guidance of the PRISMA method. The review analysis identified six main research problems where Lean was applied in Emergency Departments: (i) High Waiting Time and High Length of Hospital Stay; (ii) Health Safety; (iii) Process redesign; (iv) Management and Lessons Learned; (v) High Patient Flow; (vi) Cost Analysis. The six research problems' main approaches identified were Lean Thinking, Multidisciplinary, Statistics, and Six Sigma. The leading Lean tools and methodologies were VSM, Teamwork, DMAIC, and Kaizen. The main benefits of applying Lean Principles were (a) reductions in waiting time, costs, length of hospital stay, patient flow, and procedure times; and (b) improvements in patient satisfaction, efficiency, productivity, standardization, relationships, safety, quality, and cost savings. Multidisciplinary integration of managers and work teams often yields good results. Finally, this study identifies knowledge gaps and new opportunities to study Lean best practices in healthcare organizations.
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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.