ReviewInternational journal of environmental research and public health2021
Lean Healthcare Tools for Processes Evaluation: An Integrative Review.
Review in International journal of environmental research and public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A Systematic Review of Lean Implementation in Hospitals: Impact on Efficiency, Quality, Cost, and Satisfaction.International journal of health policy and management · 2025Pooled it
- Design and psychometric properties of a tool to assess the knowledge, attitude and practice of health care workers for infodemic management (KAPIM-Tool).BMC health services research · 2023Pooled it
- A multi-model LLM framework for AI-assisted psychological scale development: initial psychometric evaluation of the Emotion Regulation Scale (ERS).BMC psychology · 2026Article
- Review
- How to Successfully Run Trainee QI Projects.Journal of graduate medical education · 2026Article
- Lean management enhances antimicrobial stewardship in a Chinese psychiatric hospital: a quality improvement study on aetiological submission rates.BMJ open quality · 2026Article
- Lean Six Sigma for Sharps Waste Management and Occupational Biosafety in Emergency Care Units.International journal of environmental research and public health · 2026Article
- Improving vaccination coverage among 24-month-old children in the ASL Napoli 3 Sud: a M.A.S.T.E.R. approach to transformation, evaluation and strategic redesign.Frontiers in public health · 2026Article
- Integrating Lean Six Sigma into Microbiology Laboratories: Insights from a Literature Review.Healthcare (Basel, Switzerland) · 2025Review
- Revisiting lean healthcare: adopting value stream mapping from manufacturing.Frontiers in health services · 2025Article
- Article
- Use of the DMAIC Lean Six Sigma quality improvement framework to improve beta-lactam antibiotic adequacy in the critically ill.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2024Article
- A case study of lean digital transformation through robotic process automation in healthcare.Scientific reports · 2024Article
- Value-based healthcare in management of chronic back pain: A multidisciplinary- and lean-based approach.Surgical neurology international · 2024Article
- Lean methodology: contributions to improving work processes in health and nursing.Revista brasileira de enfermagem · 2024Review
- Six Sigma can significantly reduce costs of poor quality of the surgical instruments sterilization process and improve surgeon and operating room personnel satisfaction.Scientific reports · 2023Observational
- Quality Improvement Initiative in a Community Hospital to Reduce Central Line Device Utilization Rate.Cureus · 2023Article
- Applying Value Stream Mapping to Improve the Delivery of Patient Care in the Oncology Day Hospital.International journal of environmental research and public health · 2022Article
- Achieving Equity in Diabetes Research: Borrowing From the Field of Quality Improvement Using a Practical Framework and Improvement Tools.Diabetes spectrum : a publication of the American Diabetes Association · 2022Article
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
Several health services have used lean healthcare to seek continuous improvement of their processes. Therefore, it is important to investigate the evidence available in the literature about the most used lean tools in the health area to review processes and the main results achieved by the researchers. As an integrative literature review methodology was used, it was conducted in five databases, using the descriptor "quality improvement" and the keyword "Lean Healthcare". A total of 33 complete articles were selected for analysis. The most recurrent tools were: define, measure, analyze, improve and control (DMAIC); value stream map (VSM); suppliers, inputs, process, outputs, customers analysis (SIPOC), Ishikawa Diagram and 5S. Through the analysis of waste, different interventions were implemented and the main results achieved were reduction in times (processing, waiting, cycle and total), costs, workload and increase in the number of calls. The findings enabled the identification of the main lean tools used in the health area to achieve better results. In particular, we highlight recent studies that have explored the lean six sigma healthcare approach. The results, in addition to contributing to the literature, will also assist managers in choosing the best tool to achieve continuous improvement in hospitals and other health services.
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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.